The Livin Room Building Usage Request Form

The Livin Room Building Usage Request Form

Thank you for your interest in booking our facility for an event/meeting. Please complete the following information so that this request may be submitted to our board and staff for approval. Please note that there may be some additional paperwork, a minimal payment, and proof of liability insurance needed prior to the event if approved
Name of Group or Organization*
Group or Organization’s Mission or Purpose*
Is Group or Organization a Non Profit? (If Yes please include ID No in the space below.)

YesNo
Non Profit ID No
Person Who is Point of Contact*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Event or Purpose for use of Facility
Event Date and Time
Number Attending Event/Meeting:
Is anything needed for use at the facility other than the space? (Ex - tables, chairs, audio and/or visual equipment, etc.)
Name & Signature Or Representative Of Group/Organization Making This Request

Clear
Contact Info (If different from phone number and email given above.)
If you do not receive an acknowledgement of your request in 3 working days please contact randy@mayfair.org. Thank you again for your interest and support of the ministry of The Livin’ Room.

The Livin’ Room is a 501(c)(3) non-profit organization
Should be Empty: