Room Request Form

Please obtain a set of the guidelines for requesting a room from our Administrative Assistant before completing this form. Our facility has adopted a NO-Drug, NO-Alcohol rental policy.

First Name*

Last Name*

Home Phone:

Cell Phone:

Work Phone:

Event Date:*

Event Set-up Time:*

Start Time:*

End Time:*

Rooms Needed:*

Church Member?*

Yes

No

Is this event a Food & Beverage Event?*

Yes

No

Room Clean-up:

Will you or your party handle clean-up?*

Yes

No

Non-Church Members the advance fee is $50.00

Check

Cash

Other Items:

Grill? - There is a $3.00 charge per grill*

Yes

No

There is NO CHARGE for these items:

Microphone*

Yes

No

Podium*

Yes

No

Piano:*

Yes

No

Overhead: *

Yes

No

Screen:*

Yes

No

TV-VCR*

Yes

No

Locations:*

Tables:

Rounds - How Many and Chairs to Table:*

Large Rectangular - How Many and Chairs to Table:*

Small Rectangular - How Many and Chairs to Table:*

Other Items, and their Location for the Event:*

Set-Up and Location:

Please make a diagram of the desired table, chair, and accessories set-up. Indicate North this is especially important for Fellowship Hall events.

 

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