Form Center

2. *Form Instructions*

   This form can be used to request system equipment for use at your library.  Requests will be approved based on availability of each item.

   Van delivery /pickup is provided when possible. Please contact the CCLS Helpdesk if you have any questions.

   Public Address System - Speaker set and two wireless microphones (lavalier and handheld). Microphone and speaker stands are available. 

   Recording Studio - Portable projector and studio used for recording presentations in a format for online sharing.

   Laptop Lab - Five (5) laptops and chargers available for training sessions.  All come with CCLS standard software.

   Presentation System - Small form factor projector with iPad. All necessary cables included.

4. Please choose a library.*
   -- Select One --AtglenAvon GroveBayard TaylorChester CountyChester SpringsCoatesvilleDowningtownEasttownHankinHoney BrookMalvernOxfordPaoliParkesburgPhoenixvilleSpring CityTredyffrinWest Chester
6. Program Date*
   Program Date
8. First Name*
9. Last Name*
11. Phone Number*
12. Email Address*
14. Equipment Needed (Check all that apply)*

    1. Laptop Lab
    2. Recording Studio
    3. PA System
    4. Presentation System
15. How many Mobile Lab Laptops are needed? (if applicable)
17. Date/time equipment will be picked up (if applicable)
    Date/time equipment will be picked up (if applicable)

    Date/time equipment will be picked up (if applicable)
18. Is training for equipment needed?

    1. Yes
    2. No
19. Special Notes
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field