* = required field
2 Large Speakers
1 Microphone Cord
3 Black Tables
2 Small Speakers
3 Microphone Cords
3 Red Tables
Item Check-Out Agreement
By submitting the Student Activities Item Check-Out & Return Form, you agree that any item damaged or lost will be replaced by you. Charges will be placed on your Drury University student account for the replacement of the item or a comparable item (determined by the Student Activities Office). If you are checking-out items for a student organization, your organization account will be charged for the lost/damaged item.
Items lost or damaged through vandalism or theft should be submitted through a Drury Security or local authorities report immediately upon discovery.
900 N Benton Ave, FSC 124 | Springfield, MO 65802 | 417-873-6854(For equipment to be used by Drury University organizations)
Requests must be made at least 5 days prior to the event start date. By submitting this form: I verify that I and my organization will be accountable for the items requested above. I understand that if my request is denied, it is due to reasons that do not meet the mission and standards of the Student Activities Office. I understand that the item(s) above is/are in good condition at the time of receipt. I understand that I and my organization will be held financially responsible for any damaged or missing equipment. I understand that items requested must be returned one business day after the event.