Media Technician Request Form
Please complete this form at least two weeks prior to the event date.
Name of Event (*)
Sorry, but we need some sort of name to refer to this event.
Date of this event: (*)
Please use the calendar to select the date of your event.
Start time (HH:MM AM/PM) (*)
Please enter the time like this: 11:45 AM or 2:00 PM.
End time (HH:MM AM/PM) (*)
Please enter the time like this: 11:45 AM or 2:00 PM.
Group Sponsoring this Event (*)
Sorry, each event must be sponsored by a group within St. Stephens.
Person in charge of this activity (*)
Please give us the name of the person in charge of this event.
Address (*)
We need a full address, street number included.
City, State, & Zip code (*)
Please tell us the complete mailing address of the person in charge of this activity.
Phone XXX-XXX-XXXX (*)
Please check to ensure you included the area code.
Email (*)
Please double-check the email address.
Member of St. Stephen's? (*)
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Event approved by (*)
All events must be approved by one of the lay leadership of the church or the pastoral staff.
Is this a church-sponsored event? (*)
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Space requested? (*)


Please check the box matching the space you're hoping to use.
Other space needed
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Number of vocal microphones needed? (*)
Please tell us the number of vocal microphones you will need, from 0 to 10.
Other instruments that will need to be microphoned?
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Will you be showing any PowerPoint/Media Shout or any other type of slide show? (*)
Please select one.
If you will have a slide show, who will be running the equipment?
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What recording is required?

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Any other Important Information:
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I understand that for events not sponsored by St. Stephen’s United Methodist Church I and/or my organization is responsible for compensating St. Stephen’s Audio-Video-Media Technician. The compensation should be mutually agreed upon and normally not exceed $150, unless otherwise specified. The fee will cover set-up, strike/tear-down, and the event. This fee must be paid directly following the event.
By clicking the submit button below, and recording the letters you see, you agree to be financially responsible for and costs arising from this request. Your Internet Protocol address will be recorded.
Your Name (*)
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Type the four letters you see. Type the four letters you see.
Sorry, the letters didn't match. Please type the four lowercase letters you see and press "submit" again.
I agree to be responsible for any fees.   

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