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Technology Services Request Form
Department: *
Please give the name of department making the request.
Contact Person *

First
Last
Please fill in your name
Phone Number *

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Please give best contact number
Email *
Date of event *

MM 		/
DD 		/
YYYY
HH 		:
MM
AM/PM
Type of Event *
 Concert 
 Play/Skit 
 Wedding 
 Sabbath School 
 A.Y.S 
 Divine Worship Hour 
 Other 
If Other is choosen Give Detail here.
Please type in the details of the event here.

Audio Equipment Needs

A description of the section goes here.
Number of Microphones needed
 One or Two 
 Three or Four 
 Four or More 
Choose the Number of Microphones needed
Country Man Headset
 Yes 
 No 
Will Sound Track be used *
 Yes 
 No 

Projector Usage

Presenter Must Supply Laptop*
Type of Presentation: *
 PowerPoint 
 DVD\Video 
 Video Clips 
 Other 
Choose the type media you will use.
If you have a powerpoint file, you may upload here.
Location of Event *
 Main Sanctuary 
 Children's Chapel 
 Fellowship Hall 
 Conference Room 
Select the location of your event

REQUEST FOR VIDEO RECORDING OF SERVICE MUST BE CLEARED BY THE DIRECTOR OF TECHNOLOGY MINISTRY.

A description of the section goes here.

TO BETTER ASSIST YOU WITH YOUR MEDIA NEEDS, WE ARE REQUESTING THAT YOU SUBMIT THIS FORM TWO WEEKS BEFORE THE EVENT.

A description of the section goes here.
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