FANDOM


Tool Loan #: _______________ Approved: __________________

Name of Owner: __________________________________________

Name of Item: ____________________________________________

Duration of loan: _________________________________________

Item Serial #: ____________________________________________

Estimated Replacement Cost: ______________________________

Item Description/Accessories:



Dayton Diode Expenses:



User Expenses:



Owner Expenses:



Photos of Item:






Links to documentation/tutorials:




I, ___________________________, am loaning the _____________________ listed above per the above terms to Dayton Diode in order to help kickstart the most awesome hackerspace in Dayton.



Member Signature: ____________________________________ Date: ____________



Officer Signature: _______________________________________ Date: ____________


Licensed under Attribution-Noncommercial-Share Alike 3.0 Unported.


Form consensed on by Dayton Diode membership on Feb 3, 2011.

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