Facilities Requisition Form
999 Briarcliff Road NE Atlanta, GA 30306
Name
First Name
Last Name
Business Name
If none, leave blank
Phone Number
Email
example@example.com
Name of Event Purpose of Use
Briefly describe the intended purpose of use of facilities.
Start Date of Use Requesting
*
-
Month
-
Day
Year
Date
Start Time
Hour Minutes
AM
PM
AM/PM Option
Ending Date of Use Requesting
-
Month
-
Day
Year
Date
End Time
Hour Minutes
AM
PM
AM/PM Option
Further Details about Start and Ending Times
Interior Facilities
Yes/No
Chairs
Tables 6'
Tables 8'
Tables Round
Table Cloths
Sanctuary (specify # of chairs)
Media Room (Right of sanctuary)
Green Room (Left of sanctuary)
Restrooms (Sanctuary)
Restrooms (Main floor)
Foyer
Main Hallway (Entire)
Main Hallway (Up to double doors)
Reception Hall (Multipurpose room)
Reception Hall Kitchen (Multipurpose room)
Room 203
Room 208
Room 213
3rd Floor (Large room)
3rd Floor (Small room)
Kitchen
Conference Room
Staff/Volunteer Office & Appliances
Sound Technician (fee)
Audio Visual Technician (fee)
Exterior Facilities
Yes/No
Chairs
Tables 6'
Tables 8'
Tables Round
Table Cloths
Parking Lot (# of vehicles)
# of Other Vehicles (Large trucks, vans)
Courtyard
Portico (handicap parking area)
Front Yard
Electrical Needs (special)
Additional Facility Comments Explanation
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