Bethany Lutheran Church

A congregation of the Evangelical Lutheran Church in America

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Facility Request

Facilities Use Request

Your Name(required)
Your Email Address(required)
Date of Request(required)
Date of Event(required)
Room Needed From/To (start and end)(required)
Exact Time of Event (start and end)
# Attending
Organization Name(required)
Person Responsible for the Event(required)
Billing Address (include street, city, state and zip code)(required)
Phone(required)
Fax
Email address for Responsible Person(valid email required)
Type/Description of Event
Room(s) Requested
Comments/Instructions
# of chairs and/or tables (round or rectangle)
Sound system Piano VCR player DVD player Computer LCD Projector OH Projector Screen Coffee
Other Setup Instructions:
Breakfast Lunch Dinner Reception
Menu and/or special food/drink instructions

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