This form must be submitted at least three days prior to requested date of pick-up. ContactName* First Last Email* PhoneDivePrincipal Investigator Name First Last Project/Dive Plan*Requested Date of Pick-up Date Format: MM slash DD slash YYYY Minimum 3 days noticeRequested Date of Return Date Format: MM slash DD slash YYYY EquipmentPlease indicate quantities required.CylindersBuoyancy CompensatorRegulator (with computer)Weight Belt & Lead-in SetEmergency Oxygen & First Aid KitDive FlagMiscellaneous Gear / CommentsAgreement (Required)* I acknowledge my responsibility for the equipment listed above and agree to return it rinsed and in the condition in which I received it.