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

    Prove you're not a robot: