Operation: Military Kids

Operation: Military Kids Mobile Technology Lab (MTL) Request Form

1. Dates MTL Needed (time to ship, actual event, and return)

Pick Up: Event: Return:

2. Key Contact Person

Address:

E-mail:

Phone:

3. Narrative of Event

Name of Event:

Purpose/Goal of Event:

Length of Event:

Number of Youth and Adults anticipated to be served at Event:

Youth: Adults: *Equipment Needed: (please use page 2)

4. Storage Procedure for MTL

5. Media Plan and Press Release (include name and address of newspapers press release sent to)

- 1 - July 2012 Mobile Technology Lab Contents List Please indicate how many of each item you are requesting Quantity Needed Items

Dell Latitude Laptops (x 10), with: o Dell Latitude Laptop Power Cords o Dell USB Mouse Hallmark Card Studio Computer Card- Making Software (x 10) Aegis Portable External Hard Drive (x 2), with: o Aegis Portable External Hard Drive USB Y-Cable o Aegis Portable External Hard Drive Power Cable Linksys Routers (x 2), with: o Linksys Router Plug HP Deskjet Printers (x 2), with: o HP Deskjet Printer Power Cord o HP Deskjet Printer USB Cord 25’ Extension Cords (x 2) Power Strips (x 4) or Surge Protectors (x 5) Tripods with Case (x2) Cisco HD Flip Video Cameras (x 2), with: o Cisco Flip Video Camera USB Wall Charger Kodak EasyShare Digital Cameras (x 2), with: o Kodak EasyShare Digital Camera Plug o Kodak EasyShare Digital Camera USB Ethernet Cables (x 2) Imitation Rewritable CDs (x 2) Imitation Rewritable DVDs (x 2) iPads (x 8), with: o USB Charging Cables + Wall Chargers o Digital Camera Cables - 2 - Computer Speaker Set w/ AC Power Cord July 2012 o Pyro Firewire Card & Cord Quantity (for downloading video to computer) Needed Items

Cannon Digital Camera, with: o Digital Camera USB Cord o AA Battery Charger Kodak Digital Cameras (x 4), with: o Kodak Digital Camera Battery o Kodak Digital Camera SD Card o Kodak Digital Camera Back- Up Battery o Kodak Digital Camera Back- Up SD Card o Kodak Digital Camera Battery Charger o Kodak Digital Camera USB Cord Cannon Video Camera o Extra Video Camera Battery o Video Camera Power Cord o Video Camera Remote Control o Instruction Manual o Firewire Card (for downloading video to computer) Sony Digital MiniCams (x 3), with: o MiniCam Battery o Extra Lithium Ion Battery o MiniCam Power Cord o MiniCam AC Adapter o MiniCam USB Cord o MiniCam TV Cable o MiniCam Station o MiniCam Remote Control o UV Filter o MiniCam Mini Clean Kit o MiniCam Instruction Manual o MiniCam Picture Package o Sony 512MB Memory Card o Bluetooth Wireless Microphone - 3 - July 2012