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Facilities Reservation Form
Name
Group/Organization Name
Email Address
Phone Number
Facilities
Rooms Available
Sanctuary
Room 103
Room 203
Fellowship Hall Room 204a
Fellowship Hall Room 204b
Room 300
Room 300
Room 301
Room 302
Room 303
Room 304
Room 305
Room 306
Room 307
Ballard House
Pavilion
Chapin
Wesley
Parking Lot
Date
Setup
Start Time
End Time
Clean Up Complete Time
Equipment
Tables
Chairs
Laptop
TV
DVD Player
Projector
Other Equipment
Date
Pick Up Time
Return Time
Fee: $200, $100 of which will be refundable if all is in order.
(Fee's will be collected either electronically or in person before the date of use.)
Responsible Party's Signature
This form does not guarantee use of the space. Please wait on confirmation through email of your reservation.
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