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

Name:
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)

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July 2012

Mobile Technology Lab Contents List

Please indicate how many of each item you are requesting

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July 2012

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
Computer Speaker Set w/ AC Power Cord
Quantity 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
o  Pyro Firewire Card & Cord (for downloading video to computer)

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July 2012