Submit a Request

Use this form to submit a request to reserve a resource from the Regional Media Center.  After submitting your request we will confirm your order with an e-mail.

Thank You! [contact-form to=’imcknight@pnwumc.org’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Name of Church’ type=’name’ required=’1’/][contact-field label=’Requested Resources’ type=’textarea’ required=’1’/][contact-field label=’Street Address’ type=’text’/][contact-field label=’City, State, Zip’ type=’text’/][contact-field label=’WHEN DO YOU NEED THESE RESOURCES?’ type=’text’ required=’1’/][contact-field label=’HOW LONG WOULD YOU LIKE TO KEEP THEM?’ type=’text’ required=’1’/][contact-field label=’Method of Transport’ type=’radio’ options=’Via USPS Library Mail (Cheapest),Via USPS Priority Express Mail (Fastest),Pick-up (FREE – PNW Conference Office)’/][/contact-form]

By filling the form above, you are giving the Media Center permission to use your contact information to inform you of updates on your request and Media Center-related communications.  We value your privacy and will not sell, share or lend your contact information with any Third Party.