Media Request Online form

Date of Event & Time of Event (Include start and end time.)*

Ministry Name or Name of Event*

Contact Name*

Contact Phone Number*

Email*

Will you need the screens for your event?

Will you need to LIVE stream your event?

Will the event be in the Sanctuary, Multipurpose Gym, Outdoors or Other.*

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This online form is used to request for media needs in the sanctuary or Multipurpose Building. These request incldue:

NOTE: ALL MEDIA REQUEST MUST BE SUBMITTED 1 WEEK PRIOR TO THE EVENT.

Restored Life Ministries 1117 Innisfallen Avenue Springfield, OH 45506 US

Restored Life Ministries, Inc.

Restored Life Ministries 1117 Innisfallen Avenue Springfield, OH 45506 US