EmailMe Form - 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.

Where would you like it streamed? *

Church Facebook Page

Church YouTube Page

Church Website

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.

Location Name *

Do you know the address of the event? *

Yes

No

Address of event: *

Street Address City State / Province / Region Postal / Zip Code

Name of Event *

Date of Event *

MM / DD / YYYY

Time 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. *

MM / DD / YYYY HH : MM AM/PM

When will you return items? Please enter the date and time. *

MM / DD / YYYY HH : MM AM/PM

Photography

If needed, please ensure Pastors / Speakers / Presenters, etc. know BEFOREHAND they will take photos after the event. It is not the photographer's responsibility to gather people for photos. We will organize the photo once all participants are gathered. This should already be made known to participants.

Do you need photography? *

Yes

No

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 *

File Upload

You can upload your photo, powerpoint presentation, etc. here.