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Equipment Request To request equipment for classroom use, please complete the form below. Note: if you have any questions about this form, please send email to requests@hseb.utah.edu. Your Name:   Phone:   Email:   Class Number:   HSEB Room Number:   Dates and Times:     Select the equipment that you would like to use from the following list:  Document Camera    VCR    Windows PC    Macintosh PC   Other equipment (please specify):   Please feel free to send us any additional comments, questions or feedback regarding your equipment needs: Comments:

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