CHRIST CHURCH Building Use

CHRIST CHURCH, EXETER NH : Facilities Use Application
Today's Date

MonthDayYear
GENERAL CONTACT INFORMATION
1. Name & Description of Organization
2. Person responsible for, representing, or sponsoring the organization:

First NameLast Name
Daytime phone

Area CodePhone Number
Daytime e-mail
3. Applicant:

First NameLast Name
Address
Street, Town, Zip
Phone

Area CodePhone Number
E-mail
EVENT INFORMATION
4. Event / purpose for which facilities are requested
5. Room(s) being requested:
6. Date requested:

MonthDayYear
Additional dates requested (if any):
7. Time required: We will need access to the space from
HH:MM AM/PM
to
HH:MM AM/PM
The actual event is scheduled to begin at
HH:MM AM/PM
and end at
HH:MM AM/PM
8. Will there be an admission or suggested donation?
What is the ticket price or suggested donation?
9. If you are raising money for a charitable cause, what organization(s) will benefit?
10. Number of persons expected to attend:
EQUIPMENT REQUESTED
11. We will need use of the following. The main person responsible for using this equipment is listed below items checked.
Audio/Visual
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Piano
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Organ
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
12. Will you need furniture in the church moved for your event?
Please specify what needs to be moved. (Refer to section A9)
13. List any flammables to be used:
Today's date

MonthDayYear
SIGNATURE

First NameLast Name
After hitting 'SUBMIT FORM' you should be taken to a "thank you for your submission" page. You should hear from a representative of the church within a few days.
Should be Empty:

CHRIST CHURCH, EXETER NH : Facilities Use Application

GENERAL CONTACT INFORMATION

EVENT INFORMATION

EQUIPMENT REQUESTED