Submit to: Planning & Implementation Coordinator
Person Requesting Equipment:
Ministry Group : Athletics Bereavement Christian Education Divinely Anointed Victorious In Dance Deaf and Hard of Hearing Dream Makers Educarers G.G.O.C. (God's Gift of Creation) Greeters (Hospitality) Health Care Intercessor/Street Evangelism Little Temples Macedonian Call World Missions Marriage Media (Audio/Video) Media (Print) Media (Website) Men's Ministry Music Ministry Orange Blossoms Parking Lot Prison Security Scholarship Singles Sunday School Transportation Ushers Willing Workers Women's Youth Development <\SELECT>   Date Submitted :
Date of Use : Starting Time : Ending Time :
Equipment Requested :
LCD Projector Laptop Microphone Screen Podium TV
DVD Chairs Coolers Tables Other
Person Responible for Equipment :
Anything unusual about the condition of the equipment ? No Yes
If yes, please explain :
By signing this form I agree to return all equipment on the agreed upon date. I understand I am responsible for any damages that occur while equipment is in my possession.
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(Must come into the office to sign the document before obtaining equipment)