New Canaan Library
Agreement for circulation within the Library
I hereby acknowledge that I have checked out one laptop computer and the accessories
listed below for use within the New Canaan Library for the time period stated.
I hereby agree that if the equipment is not returned, that my credit card will be
charged $2,100.00. If I return the laptop or any of its components with damage beyond
normal wear and tear, replacement charges will be determined and my credit card billed.
1. Dell Inspiron 5100 Laptop computer $1990
internal wireless network card
3 hour battery pac
combination DVD drive and CD burner
2. AC Adapter Plug and power cord $25
3. Leather Carrying Case $75
4. Instruction Manual $10
5. Instruction Sheet
Name as it appears on credit card (please print):_______________________________________
Signature of patron: _____________________________________________________________
Attach Credit Card receipt.
Date and time loaned: __________________________________________
Time to be returned (90 minute limit): ____________________________
Signature of staff member: ______________________________________
When returned computer components checked by: ___________________