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Name of Event
Yes
No
One Time
Weekly
Monthly
Details About Your Event
Start Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050
End Date (if recurring more than once) January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050
Set Up Time / Arriving
Event Start Time (HH:MM AM/PM)
Event End Time / Departing (HH:MM AM/PM)
Number of Expected Attendees
Alternate Date (if primary date is unavailable) January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050
Room Request
Group Information
Name of Group
Rev. Trudy Robinson
Rev. Hannah Ka
Rev. Brittany Hanlin
Contact Person*
Contact Person Phone Number*( ) -
Contact Person Email
Services Needed
Fees may apply.
Sound Technician
Microphone & Podium
Projector & Screen
Audio / Visual Equipment
Audio Visual Equipment use or support must be made at least two weeks in advance. Please list your needs in detail below:
Room Set Up
Number of Chairs
Number of Tables
Number of Table Cloths ($10/per for dry cleaning)
Round
Rectangular
Card
Belly Bars
Board / Solid Board
Theatre Style
Banquet
Reception
Questions / Comments