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Pembroke Campus

Your Name(Required)

Name Last

Enter Your Email(Required)

What program is this equipment needed for?(Required)

(EX: I am teaching a soils class for E-tech)

Enter course name(Required)

Date Needed(Required)

Proposed return date(Required)

List Required Equipment (type and amount needed)(Required)

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Post return follow up

Please promptly email the program technician about issues relating to the equipment.