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Facility and Meeting Request
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Information about this form here. 

 

Contact Name: *
Address:
 
City:
State/Province: Zip:

Contact Number:

*
Email: *
Enter code:  *  Enter the code in the graphic below to help eliminate spam entries.
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Pastor has approved the event : * (check if yes)
Department: *
Room Requested:
Event Date: *
Event Time: *
Event Duration:   (Enter hours and minutes)
Event Title:


Event Description:

  or
* indicates a required field.