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 FOR ROOMS!

Contact Name *
Email Address *
Name of Ministry Event *
Room to Be Used *
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
Lapel Microphone
Media Cart (empty)
Mic Boom Stand
Mic Stand
Notebook Computer
Notebook Computer/Projector
Overhead Projector
Piano
Portable Sound System (large)
Portable Sound System (small)
Powerstrip
Screen
TV
TV/DVD Player
TV/VCR
VCR
Video Projector
Wireless Internet
Wireless Presentation Remote
Speakers (small)
Plasma TV
Date of Ministry Event *
Beginning - Ending Time of Event *
Additional Info/Comments
Captcha: *
Show me a different image

Please enter the characters from the image above