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.