HomeAudiovisual ServicesForm – Audiovisual Services Form – Audiovisual Services Please fill in this form to receive a quote tailored to your needs. Δ Name of organization/company/individual(Required)Person in charge(Required)Phone(Required)Email(Required) Do you have an account with EVS?(Required) Yes No Event date(Required) MM slash DD slash YYYY Event date(Required) MM slash DD slash YYYY Event start time Hours : Minutes AM PM AM/PM Event end time Hours : Minutes AM PM AM/PM Event location Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Expected number of participantsOffice hours 9 a.m. to 4 p.m. Delivery of equipment Picking up equipment Is it possible to deliver and pick up one day before and after the event? Installation/Uninstallation Installation Uninstalling Is it possible to install and uninstall one day before and after the event? Sound Microphone avec fil (1) Microphone sans fil (1) Micro SMB7 for Podcast (1) Headset/head microphone (1) Lavalier microphone (1) Microphone stand (1) Microphone table stand (1) Audio recorder 8 inputs (1) Mixing console 12 inputs (1) Speaker 2500w (1) Moniteur de scène 1000w (1) Speaker tripod (1) Subwoofer (1) Additional Audio equipmentÉquipementQuantities Add RemoveVideo equipment HD video projector (1) Projector Stand (1) Projection screen 100” (1) Téléviseur / Écran 55” (1) Support Télé à roulettes (1) Caméra + Objectifs grand angle + Trépied HD/4K (1) HDMI splitter with 3 inputs (1) HDMI connection cables 25′ (2) HDMI connection cables 50′ (2) Additional video equipmentÉquipementQuantities Add RemoveLighting Stage lighting Kit d’éclairage coloré / d’ambiance (3) Stroboscope (1) Machine à fumée / brouillard (1) Lighting console (1) Additional lightingÉquipementQuantities Add RemoveAccessory Podium / Pupitre (1) Black modular stage 4′ x 4′ (1) Black modular stage 8′ x 8′ (1) Velour noir 12′ x 12′ (1) Backdrop Kit 12′ x 12′ (1) Cable Mat (1) Additional accessoryÉquipementQuantities Add RemoveNeed a technician during the event? Yes No Special arrangements or requirementsApproximate budget allocated?Confirmation(Required) I have read and understand that this form is a request for a quote and not a confirmation of reservation.
