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Video Loan Library

Checkout Request Form

The following video check-out request is made in accordance with the terms and conditions of membership in the Beacon Institute. Only one video may be on-loan to a member at a time. You must have returned any previously loaned video in order to make this request.

Reminder to Beacon Institute VideoEducator Users: This is a 60 day video check out. At the end of 60 days your video must be returned to the Beacon Institute. Failure to return videos on time can result in fines or suspension of your membership.

To checkout a video from the loan library, please complete the form to the right.


First Name*
Last Name*
Title*
Name of Agency*
Address*
City*
State*
ZiporPostalCode*
Phone*
Email*
Video Requested - Video Code*
Video Requested - Video Title*

 

     

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