Facility Request Form

Event Information:
*Day(s) of Event
*Date(s) of Event thru

*Room(s) Requested
Click here for facility map.
*Event Title
Time of Needed Building Access
*From:    *To:
 
Ministry Information:
*Contact Name:
*Staff Contact Person:
This field must be completed
for form submission
Address:
City
State
Zip
*Phone: 
Home  
Phone: 
Work  
*Email
Brief Description of event

Hospitality Support:
I would like my room set-up like:
Number of Chairs I would also like to use:
Podium
WhiteBoard

*Audio/Visual Support:

Yes, I will need Audio/Visual Support for My Event:

Lapel Mic

Mic(s) w/stand#

Portable
Sound System
CD Player

Cassette Player

Audio Recording

Overhead

TV/VCR

I would also like to request the following:
I understand there may be an additional charge for these requests.

No, I will not need Audio/Visual Support for My Event:
       
**Please remember that submission does not guarantee a reservation. 
You will receive a confirmation e-mail when your event is scheduled. 
There may be charges for some events. 
You will be notified in the confirmation e-mail if this will be the case.