EQUIPMENT REQUEST FORM Name * First Name Last Name Email * Phone * (###) ### #### CINEMA CAMERAS (Kit comes with 4 Batteries and 4 Cards) Arri Alexa Mini LF Sony Burano SONY FX9 SONY FX3 OTHER TOTAL BATTERIES 98 WH Gold Mount 150 WH Gold Mount LENSES TRIBE BLACKWING 7 T1.9 ATLAS MERCURY 1.5X ANAMORPHIC ZEISS ZE TOKINA 25-75mm T2.8 CANON/GL OPTICS 70-200 F2.8 LAOWA 24mm PERI PROBE SONY G-MASTER ZOOMS SONY G-MASTER PRIMES OTHER MONITORS + VIDEO FLANDERS DM240 24" SMALL HD CINE 18 (4k) 18" SMALL HD 702 TOUCH 7" ARRI CCM1 7" 7" Director Monitor with Handles and batteries TERADECK BOLT 6 LT OTHER SUPPORT SATCHLER VIDEO 20 SATCHLER VIDEO 18 SATCHLER VIDEO 15 Hi HAT LOW HAT OTHER STILLS CAMERAS Sony A7R5 Sony A7c2 FUJI GFX 50R OTHER PICK UP DATE * MM DD YYYY RETURN DATE * MM DD YYYY Do you have insurance? YES NO ADDITIONAL NOTES OR REQUESTS Thank you!COI INFORMATION HERE