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

Key Request Form

Name:

Member?

YES
NO

Phone:

Ministry:

Ministry Leader:

Date of Request:

Key Type:

Church Building
Copy Room
Van Key
Other

Reason for Key Use:

Request Type:

Temporary
Long-Term

I agree to follow the guidelines listed in the Policy and Procedure for Key Requests. I agree not to duplicate this key and know that if it is lost I must replace at a cost of $25.00. I also agree not to let anyone else use this key.

Signed:

Date:

Email Address:

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

Key Request Form

Know Jesus?