Periscope

Facilities Request

Please complete the form below to submit your request to use the facilities at Christ Missionary for your event. Thank you.

Member of Christ Missionary(*)
Please select your status.

Contact Name(*)
Please type your name.

Phone(*)
Please write a subject for your message.

Email(*)
Please let us know your email address.

Event Meeting
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Event Date & Time

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Purpose
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Attendance
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Ministry
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Time of Meeting
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Please include preparation and close-out time.

Standing Request
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Please provide schedule.
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Please indicate how often the room is needed and how long it is needed for.

Ministry Leader(*)
Please enter Ministry Leader's name.

Room(s) Needed(*)
Please let us know what room you are requesting.

Preparation and Clean-up of Facilities:
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Janitor/Custodian Needed(*)
Please make a selection.

Facilities Needed

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Equipment Needed

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Room Set-Up/Arrangements
Please let us know your message.

Please indicate the specific amounts of tables and chairs needed, as well as any other specific requests.

 
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