Audio/Visual/Lighting Request Form

Audio/Visual/Lighting Request Form

Ex. A/V Request, Training, Setup
Use this form to request any AVL needs. Must be discussed with A/V Specialist, Brian Gallardo, to be finalized.

Deadline: 2 Weeks Before Event
Your Information
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
Are you the Contact for the event?*

YesNo
Please enter the name and email of the main contact below.
Full Name of Contact*

First NameLast Name
Email of Contact*
Program/Event Information
Name of Program/Event*
Ministry Area*

WorshipMusicChildren's Ministry (18 mo-5th grade)Student Ministry (6th-12th grade)Adult Ministry (includes Men's, Women's, LIFE, etc)ServePrayer and CareOther
Name of Ministry Director

First NameLast Name
Date of the Event*

MonthDayYear
Time Event Starts*

:HourMinutesAM/PM Option
Type of Request (Select all that apply)*

Audio (Microphone, Music)Video or Slideshow (Projector, DVD Player)Equipment MaintenanceInstallationPurchase/RentalTrainingOther
What equipment needs to be installed?
Is the equipments already purchased/on-site?

YesNoOther
Where does the equipment need to be installed?
Installation Details - please be as specific as possible
Share this Request with anyone?
Send email to:
Send email to:
Should be Empty: