Media Request

 

Use the form below to submit requests
for use of church owned media equipment.
Requests must be made at least 2 days prior
to ministry activity. 

NOTE: THIS FORM DOES NOT REPLACE OFFICIAL CALENDAR REQUESTS TO BE MADE THROUGH THE CHURCH OFFICE!

Contact Name *
Contact Email or Phone *
Name of Ministry Event *
Rooms Requesting *
Media Equipment Needed *
 1 Microphone (wired)
1 Microphone (wireless)
2 Microphones (wired)
2 Microphones (wireless)
3 Microphones (wired)
3 Microphones (wireless)
4 Microphones (wired)
CD player
DVD Player
Extension Cord
Portable Sound System (large)
Porable Sound System (small)
Lapel Microphone
Notebook Computer/Projector
Media Cart (empty)
Notebook Computer
Mic Boom Stand
Mic Stand
Overhead Projector
Piano
Powerstrip
Video Projector
Screen
TV
TV/DVD Player
TV/VCR
VCR
Wireless Internet
Wireless Presentation Remote
Date(s) of Ministry Event *
Beginning - Ending Time of Ministry Event *
Additional Instructions
Captcha: *
Show me a different image

Please enter the characters from the image above