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, BJ Figat, to be finalized.

Deadline: 2 Weeks Before Event
Your Information
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
Are you the Contact for the event? *

Yes No
Please enter the name and email of the main contact below.
Full Name of Contact *

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

Worship Music Children's Ministry (18 mo-5th grade) Student Ministry (6th-12th grade) Adult Ministry (includes Men's, Women's, LIFE, etc) Serve Prayer and Care
Name of Ministry Director

First Name Last Name
Date of the Event *

Month Day Year
Time Event Starts *

: Hour Minutes AM/PM Option
Type of Request (Select all that apply) *

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

Yes No
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: