Ramblers Club HKUSU (2009-2010).doc

Ramblers’ Club HKUSU (2009-2010) Equipment Borrowing Application Form Ref. No .: _________________ (i) Personal Borrowing Name: ___________________________ Membership Card no.: ______________ University no.: ____________________ Faculty: _________________________ (ii) Club/Society/Hall Borrowing Organization: _____________________ Person in charge: __________________ Membership Card No.: _____________ U. no. of PIC: _____________________ Date of function: __________________ Correspondence Tel./Pager no.: ______________________ E-mail Address:___________________________________ Borrowing Period: From___________ To______________ Reason for borrowing equipment: ____________________________________________________________________ ____________________________________________________________________ Equipment: Group Items Deposit $ Quantity Remark Code No. Tent Large 300 　 with/without flysheet 　 Mongolian 300 　 　 Stove Gas 100 　 fuel is not included 　 M.S.R. 200 　 　 Gas Lamp Large 200 　 Fuel is not included 　 Small 100 　 　 　 Cook set 　 100 　 pieces per set 　 Others Egg Box 10 　 　 　 　 　 　 　 　 　 　 　 　 　 Total:　 　 　 　 　 Deposit: HK $_____________ is received from (name) ______________ on (date) ___________ Date of Return: _____________________ Signature of Steward: ________________ Declaration I, _________________ have borrowed the above equipment and agree to follow the regulations. I am willing to be charged if the equipment I borrowed is damaged or returned after the due date. Moreover, I will clean the equipment before returning to Ramblers’ Club. Signature/Chop: _______________ Date: ________________________ Receipt of Equipment Borrowing Ref. No.: ____________ This is to certify that (name) _________________ have paid $__________ as deposit by for borrowing equipment: __________________________________________________ and have promised to return the equipment