Building Use Application
549 Clarissa Street | Rochester, NY 14608 | 585.546.5997
Today’s Date
/
Month
/
Day
Year
Date
Name or Organization
(List name of bride and groom for weddings
Address
Address
Street Address Line 2
City/State/Zip
State / Province
Postal / Zip Code
Telephone #
Contact Person
Telephone #
Date of Function
/
Month
/
Day
Year
Date
Type of Function
Time of Function
Number of Guests
Date of Rehearsal
/
Month
/
Day
Year
Date
Time of Rehearsal
Musician Needed
Yes
No
Minister Needed
Yes
No
I hereby agree to pay Memorial A.M.E. Zion Church $___________ for the use of the facility and all other agreed upon charges. I hereby agree to be responsible for any damages to Memorial A.M.E. Zion Church that is caused as a result of my event/activity.
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Date
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