Multimedia Request Form

Directions:  Please complete in full.  All requests must be approved 30 business days prior to event.   Requests not completed in full will delay approval. 

Event Name: _________________________________________________________________

Date:             ______________________                Time: _____________________

Requester Name: ____________________________________________________________

Contact Telephone number: __________________________________________________

Requester e-mail address: ____________________________________________________

Location:  Main Sanctuary ____ Youth Building ____ Off-Site Location ____

Off-Site Location Address: ____________________________________________________

Additional Comments: _______________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Audio Engineers required:        1 __  2 __  3 __   Other __   Not Required ___

Please provide number for other

Video Engineers required:        1 __  2 __  3 __   Other __    Not Required ___

Please provide number for other

DVD of service requests: Yes ____   No ___   Number Requested ____

CD of service requests:    Yes ___    No ___   Number Requested ____

* DVD and CD requests may have associated costs. 

Below For Office Use Only:

Not Approved ______              Director ______                        Assistant Director _____

Engineers' not available _____   Budget required ____ (may be required for technicians)

Not requested in time ____

Other _______________________________________________________________________________________

Approval

Director Multimedia: ____________________________  Date: ______________________

Assistant Director: _______________________________ Date: ______________________

Please forward all requests to the following e-mail addresses Knetra_Nelson@yahoo.com bru4590@hotmail.com  douglass.marks@swbell.net  petra54@sbcglobal.net Multimedia response is within 5 business days