Marine Corps Air Ground Combat Center

Replace all items in bold italics with requested information, delete this header.

MARINE CORPS COMMUNITY SERVICES MEMORANDUM

From: Facility or Program Name To: Manager, Outdoor Adventures Subj: AUTHORIZATION FOR USE OF APF PURCHASED ITEMS FOR MCCS FACILITIES

1. Facility or program name, cost center, requests the following APF purchased equipment be provided for our event name, to be held on day, date, and time of pick up. (TYPE OF FUNCTION IS NEEDED FOR OA DATA CALL REPORTS).

Qty Item Size 2 Ice Chests 150qt 5 Tables 6’ rectangular 1 Jump 12’ x 12’

2. The above equipment will be picked up on day, date, and time of pick up. (PLEASE SPECIFY A TIME IF THIS IS IMPORTANT TO YOUR FUNCTION).

3. The equipment will be returned on day/date/time of return. (PLEASE SPECIFY A TIME IF THIS IS IMPORTANT TO YOUR FUNCTION).

4. Any large and specialty inflatables will be picked up and returned by six (6) MCCS personnel. Return date will be on (day), (date), (time of return) and these individuals will off-load, set up, clean, fold and move the inflatable according to OA policy on the oversized specialty inflatables. (RETURNS MUST BE ON A TUESDAY, WEDNESDAY OR THURSDAY.)

5. This authorization is limited to requests for temporary use of APF purchased equipment for approved MCCS functions only. Facility or Program name is responsible for the proper care and return of loaned equipment.

6. The equipment will be picked up by one of the following individuals. (OA WILL ONLY ISSUE GEAR TO SOMEONE NAMED IN THIS LETTER.)

Rank/Civ Name Phone #  Civ John Doe x1234  Sgt Jane Smith x2345

7. Point of Contact is rank/civ name at ext and the undersigned at x3456.

______Name of Requestor Date

8. Signatures below confirm approval of the above request.

______Division Deputy / Branch Head Date

______Deputy Assistant Chief of Staff Date