Equipment Request Form

Equipment Request Form

Please complete this form to request any of Creative Northland's equipment you wish to borrow. After we receive your request we will assess and then send confirmation to the email you provide in this form.
Organisation
Contact Name *

First Name Last Name
Phone Number
E-mail *
example@example.com
Event / Project Name
Type of event/project

Exhibition Circus Comedy Dance Film Literature Music Theatre Visual Art Workshop Festival Other
Date of event

Day Month Year
Date
Event / Project Venue

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Equipment requested

P.A system 18 x Wooden Trestle Tables Projector 40 x Plastic Chairs 6 x Bean Bags 3 x Outdoor mats 1 x 3x3m Gazebo 19 x Pigtails Other
If you require more than one of the items requested please list the number of each item required here:
e.g. 10 x chairs, 2 x tables, 5 x bean bags etc.
Creative Northland generally allows pick up and drop off of equipment from our offices on Monday, Tuesday, Wednesday and Thursday between 10am-4pm. Choose below the dates you wish to pick up and drop off equipment
Equipment Pick up Date

Month Day Year
Date
Equipment Drop off Date

Month Day Year
Date
Should be Empty: