AV Ordering Form Please submit this completed services request form at least 2 weeks prior to the event. For questions contact Jim Carter at jcarter@crumc.org or call 972-618-3450 ext. 246 Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address* PhoneDate of Event* Time of Event* Organization A/V Service Options Option 1 ($100) – Audio Support Only (sound check and event support) Option 2 ($200) – Audio recording of event (includes audio support). We will provide the personnel needed to audio record the event and give you the unedited audio C master as well as three edited audio CD’s once produced. Option 3 ($500) – Video recording of event only (includes audio support). We will provide the personnel needed to video record the event and give you the unedited video file on a external hard drive (provided by your organization) as well as one unedited audio CD (if desired). A Live Stream web feed is available (if desired). Option 4 ($600) – Video recording of event with DVD editing (includes audio support). We will provide the personnel needed to video record the event and give you 3 edited and packaged DVD’s and 1 edited audio CD. A/V Service – Option 1 – Audio Support Only (sound check and event support) Price: A/V Service – Option 2 – Audio recording of event (includes audio support). We will provide the personnel needed to audio record the event and give you the unedited audio master as well as edited audio files (tracks) once produced. Price: A/V Service – Option 3 – Video recording of event only (includes audio support). We will provide the personnel needed to video record the event and give you the unedited video file on an external hard drive (provided by your organization) as well as an unedited audio file (if desired). A Live Stream web feed is available at no extra cost (if desired). Price: A/V Service – Option 4 – Video recording of event with DVD editing (includes audio support). We will provide the personnel needed to video record the event and give you 3 edited and packaged DVD’s and 1 edited audio CD. Price: Duplication of edited DVD’s from event. If you would like to pre-sell videos of your event we will be happy to duplicate and package them for you. Your organization is responsible for the sale and delivery of the DVD’s, as well as all mechanical duplication licensing. Quantity Price: $5.00 Quantity Total Amount Due for Services $0.00 We request the following audio-visual equipment for our event:Check all that apply. CD Player / track playback Microphones Use of screens for slides / videos How many microphones do you need? Payment InformationAn invoice will be emailed to the email address provided above. Please mail your check, made payable to CRUMC A/V Ministries to: Custer Road United Methodist Church Audio/Visual Services Request 6601 Custer Road Plano, TX 75023User AgreementI understand that my organization is responsible for payment of the services requested for this event. I also understand that my organization is responsible for any damage to audio/visual equipment used at this event.To digitally sign, please type your full name below.