AEC Media - Event Services Request FormCharles Williams(610)-326-4610 ext. 208 Name * First Name Last Name Email * Event Description * Phone * (###) ### #### Date * MM DD YYYY Event Date * MM DD YYYY Event Location * Conference Center 1 Conference Center 2 L.R. Palmer Pavilion Other Other Event Location Service Needs Wired Microphones Wireless Microphones Video Projection Internet Connection A/V Technician Video Recording Live Streaming Number of Microphones How many wired/wireless mics do you need, please specify for each. Special Needs Please list any other equipment needs for your event Thank you! we will be in touch with you soon.