Georgia Instructional Materials Center VI Cohort Loan RequestLoan Agreement • April 2nd, 2018
Contract Type FiledApril 2nd, 2018Borrower & Program Information Teacher Name: District: Email: Phone: Equipment Loan Date:(course commencement) Equipment Return Date:(course completion) Shipping Address Address (1):Address (2): City: State: Zip: Loan AgreementThe Georgia Instructional Materials Center, (hereafter referred to as the GIMC) agrees to lend to the borrower named in this request (Borrower) the following (Equipment). Please place a checkmark next to each (Equipment) item: APH Light Touch BraillerSensory Learning Kit (SLK)FVLMA kit (Functional Vision and Learning Media Assessment) In consideration of the value of the loan, the Borrower agrees to the following terms and conditions.1) Duration of the Loan Agreement. The Equipment will be loaned to THE BORROWER on or about the requested date and returned to the GIMC not later than the above stated Equipment Return Date. It is understood and agreed that THE BORROWER assumes all responsibility for all costs associated with return shipment of the Equipment