Loan Request Form

After 1.6 million dollars of equipment support to artists, arts communities and audiences, MEDIA BANK normal services have been suspended due to funding changes.
If you require equipment please outline your project on – LOAN REQUEST FORM –  please be note charges may be applicable. 

PLEASE BE AWARE THAT DATA PROJECTORS ARE CURRENTLY IN SHORT SUPPLY. YOU MAY NEED TO MAKE AN APPLICATION WELL IN ADVANCE AND ENSURE THAT IT IS COMPETITIVE.

Borrower Name

Your Email

Contact phone number

Title of Project

Dates equipment is required

Exhibition/Project Dates

Exhibition/Project Location

Participating Artists

Equipment Request (in detail)

Project Details & Rationale

MAAP Media Bank reports
I have no outstanding reportsI have an outstanding reportThis is my first ever loan request

I will email supporting images
YesNo

I will email bios/cvs
YesNo

I agree to the terms and conditions of the loan agreement
YesNo

I understand that following my loan I must submit a report
YesNo

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