Changed Lives...Changing Our World...On Purpose

Building Request Form

Name:

Member?

YES
NO

Phone:

Type of Event:

Building Use:

MINISTRY
PERSONAL *

* (If this is a personal event there may be fees attached, an additional form will be mailed to you.)

Expected Attendance:

Event Date:

Event Time:

Room(s) to be used:

Will Multimedia Equipment be needed?

YES
NO

What Equipment?

SOUND SYSTEM
VIDEO PROJECTION
PORTABLE VIDEO

What else should we know about your event? (i.e. number of mics, kitchen requirements, etc.)

I agree to follow the guidelines listed in the Policy and Procedure for Building Use. I will be responsible for the cost of repair of any damages occurring during this event. If a temporary key is required, I agree to return it to the church office immediately after the event.

Signed:

Date:

Email Address:

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Changed Lives...Changing Our World...On Purpose

Building Request Form

Know Jesus?