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INVENTORY BINDER FORMS :: Loaners and Repairs Form
‘Loaners and Repairs Form’ Entry
Multiple entries form
You will have the option of submitting multiple entries of the Loaners and Repairs Form.
MY INVENTORY BINDER :: LOANERS AND REPAIRS
Item
Reason it’s out
Loaned it out to an operator
Loaned it out to a club event
Sent it out to get modified
Sent it out for repair
Other
Other
Currency of mod or repair
USD — United States Dollar
EUR — Euro
JPY — Japanese Yen
GBP — British Pound Sterling
AUD — Australian Dollar
CAD — Canadian Dollar
CHF — Swiss Franc
CNY — Chinese Yuan Renminbi
HKD — Hong Kong Dollar
NZD — New Zealand Dollar
SGD — Singapore Dollar
SEK — Swedish Krona
NOK — Norwegian Krone
DKK — Danish Krone
KRW — South Korean Won
INR — Indian Rupee
MXN — Mexican Peso
BRL — Brazilian Real
ZAR — South African Rand
RUB — Russian Ruble
TRY — Turkish Lira
AED — UAE Dirham
ILS — Israeli New Shekel
THB — Thai Baht
PLN — Polish Złoty
Other
Currency of mod or repair
Repair or mod estimate
Actual cost
Contact details
Include relevant contact information. If you lent it out to your brother, you probably don’t need to put his address or phone number, for a repair, might be a good idea.
Loaned or sent to
*
Email
Phone
Associated web site or page
E.g. a repair shop page, club page, etc.
Address
Address
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Address
Occasion for sending it or loaning it out
General condition outbound
Optionally, include details of the condition, just in case. This is especially important if you send it out for repairs.
Returned condition
Worse
Same
Better
How better or worse?
Photos of the item
Drop an image here or click to upload
Choose image(s)
Maximum file size: 5MB
In case you wish to document the condition of your item visually, upload up to 10 images here, each can be up to five megabytes.
Date it went out
Date expected back
Would you like to be reminded on this date?
No need to remind me
Yes, remind me
If you ask for a reminder, we will send you an automated email 7 days prior to that date.
GOT IT BACK
BACK IN MY POSSESSION
Check here when you get it back.
Notes
Visual
Code
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If you are human, leave this field blank.
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