Media Preview Event
Sample Borrower Declaration

I, , hereby declare that I am borrowing the following sample(s) for the purposes of the media preview event. I acknowledge and agree to return all borrowed items in the same condition in which they were received by the deadline agreed upon.
Sample(s) Borrowed:
Event Name:
Date of Borrowing:
Return Date:
Borrower Name & Signature
Date
Authorized Staff Name & Signature
Date