Shrines of the Black Madonna - Audio/Video Request Form
The Year of Restoration -  Redefining and Celebrating Who We Are
Audio/Visual Services Request - This form should be submitted two weeks in advance of your event.
Last Name
First Name
Email Address
Phone
Event Type
Booksigning
Concert
Lecture
Meeting
Theatrical Production
Wedding/Reception
Worship Service
Other
If other, please describe.
Event Title
Event Start Date
Event End Date
Day(s) Requested
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Venue Requested
Shrine
Cultural Center
Courtyard
Founders Hall
Other
If other, please describe.
Start Time
Hours
 
 : 
Minutes
 
End Time
Hours
 
 : 
Minutes
 
Services Needed
Audio
Video
Photography
Equipment Needed
Laptop
Projector
Screen
Mics
Auxiliary Lighting
Speical Instructions