Ministry Center

Ministry Center Request Form
Applicant/Organization *
Type of Event *
Begin Date/Time *

Month Day Year Hour Minutes AM/PM Option
End Date/Time *

Month Day Year Hour Minutes AM/PM Option
Name of Contact Person *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail
Weeping Willow Member? *

Yes No
Is Organization a Non-Profit?
Description of Event
Number of Attendees
Will Food Be Served? *

Yes No
Name of Caterer
Caterer Contact Number

Area Code Phone Number