EmailMeForm
NJMBC A/V Item Checkout and Setup Form
Ministry Name
*
Ministry Leader First Name
*
Ministry Leader Last Name
*
Email
*
Phone Number
*
What item(s) are you checking out?
*
Projector
Projector Screen
Mics
Portable Speaker
Do you need A/V assistance?
*
Yes
No
Assistance with
*
Setup
Break down
If available, do you need an A/V Team Member to stay for the duration of the event?
*
Yes
No
If schedules permit, an A/V Team Member may be able to stay for the duration. Otherwise, the team member will setup, and then return close at the end of the event.
Would you like this event live-streamed?
*
Yes
No
A/V team will let you know if event is conducive to live-streaming.
Is this an offsite event?
*
Yes
No
If this is an offsite event, the ministry leader is responsible finding out and supplying WiFi information for internet access.
Address of event:
Street Address
City
State / Province / Region
Postal / Zip Code
Name of Event
*
Time of Event
*
Date of Event
*
Will the ministry leader be picking up items?
*
Yes
No
If no, who will be picking up items?
When will you pick up items? Please enter the date and time.
*
When will you return items? Please enter the date and time.
*
Setup and Breakdown Details
If available, the A/V team can help with transporting items, since there will be a need for setup and breakdown. However, ministry leaders WILL BE responsible for checking out and returning items.
Acknowledgement
I acknowledge that I am checking out items from the A/V Ministry. I agree that all items checked out will be returned in good condition and include all connective parts (cords, bags, etc.).
Signature
*
Clear
Type Name
*
