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name1                        student account number       date


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name2                        student account number       date


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name3                        student account number       date

willingly accepts as a loan the equipment listed below. This equipment is the property of the Robotics Institute at Carnegie Mellon University and must be returned in a like-new usable condition on the last day of classes in the Spring of 2012 or sooner, if an entire group drops the class. The group members must check all items within 48 hours of receiving them for damage. After this point, it is the group members' responsibility to maintain this equipment and replace all damaged items. We have provided a parts list with their replacement cost.

Failure to return these parts constitutes a violation of academic integrity. Groups who do not return the equipment will have their grade withheld until the equipment is returned and will be subject to the University Disciplinary Committee.

On the last day of class in the Spring of 2012, however, the members can write a check payable to Carnegie Mellon for the replacement cost of the unreturned items.