Orange County Community College
115 South Street
Middletown, New York 10940
Phone: (845) 341-4720 Fax: (845) 341-0683
Event Title:
_________________________________________________________________________
Sponsor/Coordinator: _________________________________________________________________
Contact phone/ Email:
_________________________________________________________________
Briefly describe the event:
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Program Information Form
Check off the equipment you will need below.
Electrical extension cords
CD/MD player
Data projector
(We do not supply a laptop)
Other: (specify below)
Explain any special/technical needs that you anticipate:
Do you need any of these items on stage?
chairs (how many?) ____________
tables (how many?) ____________
6’ long _______________
8’ long
_______________
What items will you set up on stage (scenery; props; banners; furniture; etc?)
Please indicate any other information that may be helpful to us in accommodating your needs.
EVENT
DATE (MM/DD/YY)
DAY:
Sun
Mon
Tue
Wed Thu
Fri
Sat
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Podium with Microphone
Wireless Microphone(s)
Lavaliers ____
Handhelds ____
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