Name:

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:

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:

Video Camera System:

Duplicators: