HomePLACE
DigitKit
Reservation
Form
Request Date
*
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Month
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Day
Year
Date
Kit Requested
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Epson 11000XL Large Format Digitization Kit
Epson V37 Portable Community Scan Day Kit
ST Imaging ViewScan III Microfilm DigiKit
Contact Name
*
Contact Email
*
Library System
*
PINES Courier Code
*
STAT code
Priot to submission, please review the GPLS Loaner Kit Use Policy.
Do you accept the Loaner Kit Use Policy?
*
Yes, I accept the GPLS Loaner Kit Use Policy.
Date Needed
Scan Kits are reservable in 3 month increments.
From
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Month
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Day
Year
Date
To
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Month
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Day
Year
Date
Submit
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