LMC Media Production Van
Reservation Form

Please note there is a 3 hour minimum for renting the LMC Media Production Van.

Name*

First NameLast Name

Email*

Membership status*

LMC Media memberNot a member

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Are you the contact for this event?*

YesNo

Contact's name*

First NameLast Name

Contact's email*

Date and time of event*

MinutesAM/PM Option

Length of event*

AM/PM Option

Until

until

3hr minimum required

AM/PM Option

Total 0.0

Location of event*

Street Address

Street Address Line 2

CityState

Zip Code

Is there a standard electrical wall outlet available at the location?*

YesNoNot sure

Do you want your event streamed live to a social media account and/or LMC Media's channels?*

YesNo

Do you have a Producer's Agreement on file with LMC?*

YesNo

Project/Event Title

Project name as submitted on Producer's Agreement

A Producer's Agreement must be completed and submitted to LMC Media no less than 2 business days prior to the date of the event. Producer's Agreements can be downloaded at the following link and can be printed & mailed or scanned & emailed to LMC Media.

Click here to download a Producer's Agreement

Please submit Producer's Agreements to

Email	Snail Mail
smosley@lmcmedia.org	740 W. Boston Post Rd, Suite 311 Mamaroneck, NY 10543

Is there an unrestricted, hardline internet available at the location?*

YesNo (data charges may apply)

Do you require a custom graphics package (titles, lower thirds, bugs, logos, etc)?

YesNo

How many cameras will be needed for this event

123Not sure

Is there a PA feed that can be provided?*

YesNo

Do you need LMC to provide a full microphone setup for the event?

YesNo

Please provide any other details you think may be important

Please verify that you are human*

LMC Media Production Van
Reservation Form

Contact Info

Event Details

LMC Media Production VanReservation Form

Contact Info

Event Details

LMC Media Production Van
Reservation Form