AFTER HOURS COMMUNITY BAND
ASSETS LENDING FORM - INSTRUMENTS AND EQUIPMENT	
	
BORROWERS NAME/RESPONSIBLE PARTY:  	
BORROWING ORGANIZATION NAME:  	
ADDRESS:  	
	
PHONE:				EMAIL:	
AHCB SPONSOR/CONTACT:	
	
EXECUTIVE COMMITTEE APPROVAL:			          YES 	     NO	

AGREEMENT

I/we, the above-mentioned party/organization, agree to replace/repair any damaged or missing instrument/equipment, as a result of borrowing it from the After Hours Community Band, for our usage.  I/we agree to return the borrowed instrument/equipment on or by the following date:___________________________.  If said instrument/equipment is damaged or lost, then the replacement/repairs would need to be completed within 30 days of the “return date” outlined above.
BORROWER’S SIGNATURE: __________________________________________________________
DATE Received: _________________     DATE Returned: __________________ INITIALS: _______
AHCB PRESIDENT’S SIGNATURE: ____________________________________________________
DATE Received: _________________     DATE Returned: __________________ INITIALS: _______	
	
INSTRUMENT/EQUIPMENT
INSTRUMENT/EQUIPMENT TYPE: _________________________________________________________
SERIAL NUMBER: __________________________________________________________
CONDITION WHEN LOANED: 

APPROXIMATE REPLACEMENT COSTS:

CONDITION UPON RETURN:

	

ASSETS LENDING FORM: INSTRUMENT/EQUIPMENT – continued                             Page 2

INSTRUMENT/EQUIPMENT
INSTRUMENT/EQUIPMENT TYPE: _________________________________________________________
SERIAL NUMBER: __________________________________________________________
CONDITION WHEN LOANED: 

APPROXIMATE REPLACEMENT COSTS:

CONDITION UPON RETURN:

	
	
INSTRUMENT/EQUIPMENT
INSTRUMENT/EQUIPMENT TYPE: _________________________________________________________
SERIAL NUMBER: __________________________________________________________
CONDITION WHEN LOANED: 

APPROXIMATE REPLACEMENT COSTS:

CONDITION UPON RETURN:

	
	
INSTRUMENT/EQUIPMENT
INSTRUMENT/EQUIPMENT TYPE: _________________________________________________________
SERIAL NUMBER: __________________________________________________________
CONDITION WHEN LOANED: 

APPROXIMATE REPLACEMENT COSTS:

CONDITION UPON RETURN:

	
ADDITIONAL COMMENTS: