Organization / Church name:

Address:

City:         State:         Zip:

Church Phone Number:        Best Phone Number to Reach You:

Fax Number:        Email:

Where did you hear about us?

Building Information:

Seating capacity:

How many windows are in your auditorium/sanctuary?
    What type of windows are they? (e.g. stained glass, clear)

What type of lighting is in your auditorium/sanctuary?
(e.g. fluorescent, incandescent, etc.)

Describe the architectural style of the room (e.g. cathedral ceilings, fan shaped, etc):

Do you currently have a projection system?      Yes       No
    If yes, please describe:

Please select below what multimedia elements you are interested in. Check all that apply.

Video Projector System:

Projector:       Mounted on ceiling       Projecting from back of the room       Portable

Screen:         Motorized         Manual         Permanent frame         Portable

Cable
Scaler / Switcher
Multimedia computer
Presentation software
Wireless mouse controller
What is your approximate budget for a projection system?

Video Camera System:

Remote cameras
Manned cameras
       How many cameras?
Video mixer
What is your approximate budget for a camera system?

Duplicators:

CD Duplicator
DVD Duplicator
       How many copies per week?
Additional blank media