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* 1. Event Name:

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* 2. Number of People:

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* 3. Date of Meeting/ Event :   *Start Time*

Date
Time

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* 4. Chairperson or Contact:

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* 5. BAC | Bethel Liaison or Contact:

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* 6. Event Location and Address:

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* 7. Describe Set-up and Logistics:

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* 8. Upload Floor Plan or Layout:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 9. Security Needs:

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* 10. Hostesses Needed:

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* 11. Ushers Needed:

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* 12. Administrative Support:

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* 13. Transportation Required:

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* 14. Reserved Parking: *very limited*

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* 15. Musical Needs

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* 16. Food or Refreshments

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* 17. Each group or organization is responsible for its own printing .

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Bethel AME Media Ministry

Bethel AME Media Ministry
BAC MEDIA (Audio/ Visual) REQUESTS

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* 18. Name of Event:

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* 19. Number of Attendees:

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* 20. Date of Event and Start Time

Date
Time

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* 21. Set-Up Time Needed

MEDIA TECHNICIAN ASSISTANCE
PLEASE include time for set-up (loading of slides etc.) when requesting media services. Personnel allotment will be determined

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* 22. Audio Need:

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* 23. Visual Support Needed:

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* 24. Presentation Files Are Already Prepared

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 25. Special Instructions

THANK YOU FOR TAKING THE TIME TO INPUT YOUR INFORMATION. WE WILL CONTACT YOU TO CONFIRM RECEIPT OF THIS INFORMATION AND NEXT STEPS.
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