Arlington Heights Media Request Form
All events need to complete this form and submit it to the Technical Director
Name of your event: *
Your answer
Your name: *
Your answer
Phone Number: *
Your answer
Ministry: *
Your answer
Which room are you requesting? *
Your answer
Have you filled out a room reservation form for both your event and any rehearsals? *
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Do you need to rehearse in the room (including day of prior to the start of your event)? *
If so, what is the date of the rehearsal?
MM
/
DD
/
YYYY
If so what is the start time of the rehearsal?
Time
:
If so, what is the end time of the rehearsal?
Time
:
How many will be attending this event? *
Your answer
What media do you plan to use? *
Required
Additional Comments or Questions
Your answer
Questions? Contact Eddy Chavez at echavez@theorchardefc.org or 847.392.4840
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