Media Request Form

Please complete this form when you need media support for an event you are holding at Little Flock.

 

Date of Request:           

 

Name of Requestor:        Best Phone Number for You:     

 

Your Email:      

 

Name of Event you need media support for:       

 

Date of Event:       Times of Event (beginning & ending): 

 

Event Location (building/room):        Estimated Attendance:

 

Explain Your Media Needs:
(Lapel mics, handheld mics, CD, Cassette, Portable Sound System, Projector, Screen, VCR, TV, etc.)