Today's Date

Requested by.

CONTACT INFORMATION:

First name

Last name

Email

Phone

EVENT INFORMATION:

Date of Event

Preferred Space Preferred SpaceSanctuaryFellowship hallClassroom

Enter Desired Event Times Here

Type/Purpose of Function Type/Purpose of FunctionMeetingRehearsalFellowshipConferenceOther

If "other" please explain:

Approximate No. of Guests

Total Number of Chairs Needed

Total Number of Tables Needed

Auxiliary, Group, Committee or Board Name

EQUIPMENT NEEDS:

Choose all that apply Choose all that apply Microphone Podium TV Chalkboard (Chalk/Eraser) Easel with Flip Chart (Markers/Eraser) Overhead Projector Portable Screen None **I agree to be responsible for equipment while it is in my care. If the equipment becomes lost or damaged, I will replace it or provide funds to do so.

SPECIAL EVENT INFORMATION:

Please complete this section if you are planning a special event (i.e. concert, service, workshop, banquet, etc.)

Is registration required? Is registration required? Yes No

Is there a charge to attend this event? Is there a charge to attend this event? Yes No

Will an offering be collected? If so, please contact our treasurer to arrange for assistance. Will an offering be collected? If so, please contact our treasurer to arrange for assistance. Yes No

Please give a brief time schedule of the day

Will classes be offered? If yes, how many classes? (Please attach a list of any classes that may be offered on that day).

AUDIO/VISUAL REQUESTS (Sanctuary Only):

Do you need the sound system? Do you need the sound system? Yes No

Do you need your event recorded? Do you need your event recorded? Yes No

Do you need the Projection Screens? Do you need the Projection Screens? Yes No