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Facilities Request

Name of Event:	*
Start Date of Event:	*	Calendar
End Date of Event:		Calendar
Start Time of Event:	*
End Time of Event:	*
Recurring Event:	*
If recurring how often:
Person Making Request:	*
Email:	*
Phone:	*
Mobile Phone:
Childcare Needed:	*	YesNo
Promotion Needed: Will the event need to be published in our bulletin, Constant Contact or other publications?	*	YesNo
Promotion Type:
Promotion Dates:		Calendar
Area Requested 1:
Area Requested 2:
Area Requested 3:
Specific Room Number: Request a specific room number in the area requested
Audio/Visual Technician Needed: Extra fees may apply	*	YesNo
Church Vehicles Needed:
Notes or Comments:
Security Code:		Enter the code shown above in the box below

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