Media Request Form

This form will allow you to order media items from the Media Resource Center.

Please read the General Information regarding ordering items.

First Name (*)

Please enter a First Name.

Last Name (*)

Please enter a Last Name.

Street Address (*)

Please enter a Street Address.

City (*)

Please enter a City.

State (*)

Please enter a State.

Zip Code (*)

Please enter a Zip Code.

Email (*)

Please enter a valid Email.

Phone (*)

Please enter a Phone number.

Enter a valid phone number as 555-555-5555.

Parish or School Name (*)

Please enter the name of your Parish or School.

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The Diocesan Media Resource Center offers these features for your benefit...

Media Center resources are available to all persons in Catholic Schools and Catholic parishes.
Resources will be mailed to parishes and schools if pickups cannot be made.
There is no charge for borrowing materials; however, return postage on media resources will be paid by users. Materials may be returned by fourth class mail.
Borrowers are responsible for lost or unreturned material and will be billed the amount of replacement costs.
Most materials can be borrowed for a three week period in order to allow time for previewing and lesson preparation. Prompt return of resources is extremely important in order to accommodate persons or parishes waiting next in line to receive materials. Your cooperation is greatly appreciated.
Please rewind videos before returning in order to prolong the life of the tape.
The Media Center Director is available to offer video preview days of the latest materials for DRE's, youth ministers, school faculties and other interested persons. Please call Dan Hardester at 407-246-4895 for details.