Today's Date

    Contact Person

    Contact Email

    Contact Number(s)

    Home #:

    Cell #:

    Daytime #:

    Address

    City

    State

    Zip

    Type of Event

    Proposed Event Date

    Time

    Time Room Available

    Time Room Closed

    Number of Guests

    Check Areas Needed:
    Family Life Center (Gym)Family Life Center KitchenFellowship HallFellowship Hall KitchenClassroomSanctuary

    Setup Needed:
    Round Tables w/ ChairsRound Tables w/out ChairsSquare Tables w/ ChairsHead Table w/ChairsCircle ChairsU-Shaped ChairsTheatre ChairsLecternSound SystemVideo RecordingLED Projector and Screen

    Additional Comments or Instructions:

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