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Group Audio/ Visual Form (Partners Hall 1)

‭Call (570) 386-2154‬
Or fill out the interest form

If you are requesting to use any of BMCR’s audio/visual equipment in your meeting, YOU MUST INDICATE below next to the equipment listed.

Name of Group:

Name of Group Leader:

Reservation Number:

Podium:

Yes No

Number of Chairs Needed (Max 150):

Number of Tables:

Registration Table (where would you like your registration table?)

Tables Covers: ($6.00 rental fee for 2):

The total cost for the use of any one or combination in this section (Except wireless) is $105.00 Equipment cannot be used without tutorial from Media Manager - Sound System:

Yes No

Wireless microphone 1 handheld microphone (limited availability, please call to confirm; additional charge $50.00):

Yes No

CD Recorder rental (Additional charge $40.00):

CD-Music discs needed to record. CD-Music discs available for purchase ($2.50 ea):

LCD Projector $125.00 Charge (MUST SIGN WAIVER FORM FOR RENTAL):

Yes No

Laptop connection:(only if using LCD projector above)

Yes No

Connection:

HDMI Mac Not Needed

Electric Drums: $45.00

Yes No

Clavinova: Electric Piano $45

Yes No

The total cost for the use of any one or combination in this section is $20.00: - TV/DVD Combo Unit:

Yes No

Communion Service :

Service Trays with empty cups & Plates $20 Filled cups with juice and bread (sealed) $0.50 each None Needed

The total cost for the use of any one or combination in this section is $15.00 - Whiteboard:

Yes No

Flip Chart Stand (CHART NOT SUPPLIED):

Yes No

Notes or questions for our Audio/Visual team:

***All fields are required***

Please note by completing the A/V form, it DOES NOT GUARANTEE that all the items you request will be available for your use. You will be notified if any of the equipment you requested is not available so that you will have the opportunity to provide your own. If you need the Media Team to show you how to operate any of the equipment, please contact the Group Coordinator 2 weeks before arrival to schedule an appointment.

THIS FORM MUST BE RETURNED 3 WEEKS PRIOR TO YOUR SCHEDULED RETREAT TO ENSURE YOUR REQUESTS MAY BE HONORED. THANK YOU!

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A Ministry of Blue Mountain Christian Center Church, Inc.