OTAP Loan Library Agreement

Name of Borrower: _________________________________________________Position_______________________________
                                                                      (person responsible for equipment)
Name of Borrower's Supervisor: ____________________________________________________________________________
Agency: _______________________________________________________________________ County__________________
                                                        (where you want the equipment delivered)
Street Address: _________________________________________________City:______________________Zip:____________
Phone:_______________________________________________Fax_________________________________________________
                                   (best place to reach you)
E-mail Address: ___________________________________________________________________________________________

In borrowing from the OTAP Loan Library, I agree to;

  • Obey Software Copyright Laws
  • I Will Not Make A Copy And Will Remove Borrowed Programs From My Computer Hard Drive Upon Returning Original Software To OTAP
  • Assume Responsibility For Returning Equipment On Time (via UPS)
  • Return Equipment Immediatley If It Ceases To Operate
  • Assume Financial Responsibility For Repairing The Equipment If It Is Damaged As A Result Of Neglect Or Carelessness
  • Reimburse OTAP At The Current Market Value If The Equipment Is Lost OR Damaged Beyond Repair
  • I Understand That If I Do Not Keep This Agreement My Loan Library Privileges May Be Revoked
  _______________________________________________________ ___________________________________
                                (Borrower's Signature)                         (Date)
Please list below the items you wish to borrow.
TYPE ITEM# Title
     
. . .
. . .
. . .

WHEN YOU HAVE READ AND PRINTED YOUR LOAN AGREEMENT PLEASE MAIL OR FAX TO :

Oregon Technology Access Program
Shar Burgoyne
1871 NE Stephens
Roseburg Or 97470
Fax 541/957-4808
Phone 541/440-4793

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Last Updated: Tuesday September 2, 2003  Total hits since 3/4/2004 - 323
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