Mobile HotSpot Lending Agreement

Livingston County Library Mobile WiFi Hotspot Lending Program Agreement

WI-FI HOTSPOT #: _____________________________________________

CHECK IN Due Date:  ___________________________________________

I understand and agree to the Livingston County Library Mobile Wi-Fi Hotspot Lending Policy when borrowing a Mobile Wi-Fi Hotspot Kit. By signing this agreement, I accept the loan policy stating that I am responsible in returning this equipment to the Livingston County Library in good working condition, free of damage and responsible for International Roaming charges accrued due to data usage outside of the United States.

CHECK-OUT — PATRON (Please fill out the fields below.)
Full Name (Print): ________________________________________________
Library Card Number: ____________________________________________
Cell Phone Number: ______________________________________________
Email: _________________________________________________________
Signature: ______________________________________________________
Date: ___________________________________________________________

CHECK-OUT — STAFF MEMBER (Please fill out the fields below.)
Staff Member: please check off to indicate that all pieces of the Mobile Wi-Fi Hotspot Kit are present at the time of check-out. Initial and date below.
CHECK-OUT DATE: ________________________________
Wi-Fi Hotspot: ___ USB Type-C Charging Cable & AC Adaptor: ___ Instruction Guide: ___ Carrying Case: ___
Livingston County Library Staff Member Initial and Date: _______

CHECK-IN — STAFF MEMBER (Please fill out the fields below.)
Staff Member: please check off to indicate that all pieces of the Mobile Wi-Fi Hotspot Kit are present at the time of check-in. Initial and date below.
CHECK-IN DATE: __________________________________
Wi-Fi Hotspot: ___ USB Type-C Charging Cable & AC Adaptor: ___ Instruction Guide: ___ Carrying Case: ___
Livingston County LibraryStaff Member Initial and Date: ______