Resource Request Form

Use this form to request to borrow resources from the NC Conference Media Center. The Media Center is open to all clergy, laity, and staff of the NC Conference free of charge. You will receive a response to your request after it has been processed during business hours.

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone

Your Church's Name(Required)

Your Church's City(Required)

Requested Items

Enter the bar code and/or title and the format of each resource you would like to borrow. Enter the number of copies for each format if more than one (subject to availability). Enter the date of when you plan to start using each resource. (You may enter ASAP if you do not need it on a specific date.) Click the + sign at the end of the row to list additional titles or formats.

Bar code and/or Title

Format (DVD, Leader Guide, Book, etc.)

Number of Copies

Start Date

Where Should We Mail the Resource(s)?

Enter your preferred mailing address for this request. It may be your church or your home. If you prefer to pick up the resource(s), leave the address blank, and enter your pick up date in the field below.

Church Address

Home Address

I will pick up the resource(s) in person.

Street Address City State ZIP Code

Pick Up Date

Enter a date if you will be picking up the resource(s) at the NC Conference Building in Garner during business hours, 8:30am-4:30pm, Monday-Thursday.

Notes to the Librarian

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