EQUIPMENT REQUEST
All fields with a red asterisks are required.
Date
*
-
Month
-
Day
Year
Date
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Your Program
*
Please Select
A+
Accounting
Communications
Day Camp
Executive
HR/Payroll/Recruitment
Maintenance
Heeia State Park
Preschool
Private School
Your Site/Location
*
Please Select
Corporate Office, Kailua
Heeia State Park, Kaneohe
PRV-Kamehameha Hawaii
PRV-Mary Star of the Sea
PRV-St. Elizabeth
PRV-St. Joseph
PRV-St. Louis
PRV-St. Theresa
PRV-Island Pacific Academy
PS-Aikahi
PS-Alewa Heights
PS-Calvary
PS-Enchanted Lake
PS-Ewa @ CFS
PS-Hawaii Kai
PS-Honolulu
PS-Judd Street
PS-Kahului
PS-Kalaeloa
PS-Kaneohe
PS-King Street
PS-Lahaina
PS-Maili on St. John's Road
PS-Makawao
PS-Maui Evangelical (Hina)
PS-Mililani Tech Park
PS-Moanalua
PS-Pearl City
PS-Piilani
PS-St. Mark's
PS-St. Timothy's
A+-Aiea
A+-Ala Wai
A+-Ben Parker
A+-Connections
A+-DeSilva
A+-Enchanted Lake
A+-Haaheo
A+-Hahaione (BC Only)
A+-Heeia
A+-Hickam
A+-Hilo Union
A+-Hokulani
A+-Honaunau
A+-Iliahi
A+-Ka Umeke Kaeo
A+-Kahakai
A+-Kahala
A+-Kahaluu
A+-Kahuku
A+-Kahului
A+-Kainalu
A+-Kalanianaole
A+-Kaleiopuu
A+-Kalihi
A+-Kalihi Uka
A+-Kamakau PCS
A+-Kamalii
A+-Kamiloiki
A+-Kaneohe
A+-Kanoelani
A+-Kapiolani
A+-Kaumualii
A+-Kealakehe
A+-Keaukaha
A+-Keonepoko
A+-Keoneula
A+-Kilauea
A+-Koko Head
A+-Koloa
A+-Konawaena
A+-Kula
A+-Liholiho
A+-Lunalilo
A+-Makalapa
A+-Mokapu
A+-Nahienaena
A+-Nanaikapono
A+-Nanakuli
A+-Paia
A+-Pearl Harbor
A+-Pearl Harbor Kai
A+-Pearl Ridge
A+-Pukalani
A+-Salt Lake
A+-Sunset
A+-Voyager
A+-Waiakea
A+-Waiakeawaena
A+-Waihee
A+-Waikoloa
A+-Wailuku
A+-Waimalu
A+-Waimea
A+-Webling
A+-Wheeler
A+-Wilcox
Other
IT Ticket Type - please select all that apply
*
Projector***
Screen
Date to be picked up
*
-
Month
-
Day
Year
Date
Date to be returned
*
-
Month
-
Day
Year
Date
*** Projector includes:
Projector
Power Cable
Extension Cord
Optional Adapter for iOS connection
Please make sure to return all equipment that was included.
What will projector be used for?
Please feel free to include any notes regarding your request
Status
Please Select
Open
Pending Customer
Pending Third Party
Closed
Delete
Closed Date
-
Month
-
Day
Year
Date
PU Date Alert
-
Month
-
Day
Year
Date
Return Date Alert
-
Month
-
Day
Year
Date
Submit
Should be Empty: