Facilities Use Request Form Please complete the form below to request use of our church facilities. Before submitting, be sure to review the Facilities Use Agreement for all terms and requirements. Facilities Use Request Form Name:(Required) First Last Email(Required) Phone(Required)Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Event:(Required) MM slash DD slash YYYY Start Time:(Required) Hours : Minutes AM PM AM/PM End Time:(Required) Hours : Minutes AM PM AM/PM Event/Purpose:(Required)Select Facilities Needed: Main Hall/Church English Service Hall Sunday School Room 1 Sunday School Room 2 Commercial Kitchen Media Equipment Which Media Service Do You Need? Audio Only Audio + Screen Projection Audio + Screen + Streaming Audio Only Fee: Price: Audio + Screen Fee: Price: Streaming Media Fee Price: Will you use church instruments? Yes Musical Instrument Fee: Quantity Price: $300.00 Quantity Would you like catering services? Yes Catering Fee: Price: Cleaning Fee Price: $300.00 This field is hidden when viewing the formNumber of Rooms SelectedTotal Cost: Agreement:(Required) I have read and agree to the Facilities Use Agreement. Δ