OCQG Equipment Borrowing Form

(borrowing items for non-guild purposes)

Name of member-borrower ___________________________________

Item(s) borrowed ___________________________________________

Dates of loan/return _________________ to ______________

I understand and agree that if the item is damaged, lost, or stolen during the time I have it, I will pay for its repair or replacement. The Oregon Coastal Quilters Guild has no responsibility or liability for the item’s use or misuse while it is in my care and custody.

Signature of member-borrower ______________________________

Refundable $20 security deposit paid _____________________________________

Treasurer’s signature

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Verification item returned undamaged _____________________________________

Storage key-holder’s signature

Oregon Coastal Quilters Guild

Don Butler

2005-10-26

Quiet Water