A/V & Multimedia Usage Form

Name(Required)

First Last

Phone(Required)

Email(Required)

Name of Event(Required)

Date of Event(Required)

Time of Event(Required)

Please include set-up and tear down in your time.

How many microphones will you need?

What audio needs do you have?(Required)

Please check all that apply.

Speaker/Lecturer

Pre and post event music

Music during event

Live music (Singer/s or band)

What video needs do you have?(Required)

Please check all that apply.

PowerPoint presentation

ProPresenter presentation

Video

Web based video

Movie

Additional Information

Please list any additional details regarding your A/V needs that were not addressed in the form above.

Electronic Signature(Required)

Please be aware that our A/V system has some very specific requirements, and prior to your event you will need to talk to the person in charge of media to arrange the details of your A/V usage.

If you agree to the terms of usage of the Audio/Visual systems at VanChurch, please sign here.

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A/V & Multimedia Usage Form

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