Summer Device Agreement

Summer - Device Loan Agreement
Date: 
   
Last Name: 
   
First Name: 
   
Select your Building: 
   
Email Address 
   
Summer Telephone Number: 
   
Select Items:  You may select multiple devicesOther item: 
   
   
Device #1: Make and model:Example: Dell Latitude E6410
Device #1: Device NameExample: HHCJJONES3LAP
Device #1: Serial number/Service Tag Usually located on the bottom of the device
   
   
Device #2: Make and model:Example: Dell Latitude E6410
Device #2: Device NameExample: HHCJJONES3LAP
Device #2: Serial number/Service Tag Usually located on the bottom of the device
   
   
Device #3: Make and model:Example: Dell Latitude E6410
Device #3: Device NameExample: HHCJJONES3LAP
Device #3: Serial number/Service Tag Usually located on the bottom of the device
   
   
Device #4: Make and model:Example: Dell Latitude E6410
Device #4: Device NameExample: HHCJJONES3LAP
Device #4: Serial number/Service Tag Usually located on the bottom of the device
   
   
Digital Signature: Type your first and last name 
   

 



Security Measure

Website by SchoolMessenger Presence. © 2017 West Corporation. All rights reserved.