MDS: Equipment Authorization Form
MEDIA MINISTRY
EQUIPMENT USE AUTHORIZATION FORM
This request is for the following specific project: ________________________________________________________________________________
| Complete This Form And Return (10) Ten Days Before Your Event In Order To Accommodate Your Request |
Date(s) Needed: _____________ Time Frame: _____________
| |Name |Phone Number |
|1 | | |
|2 | | |
Check the appropriate equipment and include quantity needed:
| |Microphone | |Power Point Presentation |
| |CD Player | |Projector |
| |Audio Cassette Player | |Laptop Computer PC/MAC |
| |Audio Record | |Portable Screen |
| |Video Record | |Rehearsal Yes No |
| |Television | |Sanctuary |
| |VCR Player | |Fellowship Hall |
| |DVD Player | |Room # |
IMPORTANT - PLEASE READ CAREFULLY::
The equipment requires signature authorization. To help us efficiently complete your order: Please call the Media Ministry to reserve your equipment (minimum 10 days) to verify your order immediately after signing this form.
(Media Ministry) - Please call: 301-839-8705
(Church Office) - Please call: 301-839-1343
All equipment is used for Fort Foote Baptist Church use only. Rental rates do not apply.
MEDIA AUTHORIZATION RESPONSIBILITY: The faculty's signature authorizes the equipment for this specific project only.
FACULTY SIGNATURE:______________________________ Phone #__________________
FACULTY NAME: (please print) _________________________________________________
Office Use Only:
Media Ministry Verification: date called ___________ date verified ___________ employee initials ___________ [rev: 02.12.2004]
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