Cameron Public Library

POLICIES

A.V. EQUIPMENT REQUEST

 DATE:______________________________

NAME:___________________________________________

ADDRESS:________________________________________

CITY:_______________________TELEPHONE:___________________

PATRON CARD NUMBER:__________________

EQUIPMENT REQUESTED:_______________________________________

DATE REQUESTED:_________________

DATE AND TIME TO RETURN:____________________

I hereby acknowledge the provision of the Cameron Public Library's policy regarding the use of audio visual equipment and hereby accept responsibility for any and all damages to the equipment which may result from its use.

_______________________________________

                                                                                                Applicant Signature

_____________$2.00 fee

_____________Deposit received

_____________Deposit refunded

LIBRARY POLICY STATES:  To check out a piece of equipment one must have a permanent library card and a $10.00 deposit (refundable) plus $2.00 per day fee is required.  All loans of equipment are for a 48 hour period unless special arrangements are made.  If the equipment is not returned by the scheduled time the deposit will be forfeited by the patron.  Equipment may be reserved in person or by telephone as far in advance as possible.  If there is a change of plans, prompt cancellation is requested.

updated December 16,  2011
312 N. Chestnut; Cameron, MO 64429
voice phone: 816-632-2311 -- fax: 816-632-2969
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