USE OF CHURCH REQUEST

USE OF CHURCH REQUEST
Full Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Use/Request: (NOTE: request must be submitted at least 3 weeks in advance. Advance request does not guarantee approval)

MonthDayYear
Date
Time of Use

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Purpose of Use? (NOTE: $25 deposit required to secure date)
# of Tables Needed (tablecloths not included)
# of Chairs Needed
Sound Personnel Needed (Yes or No) NOTE: There is a $75 Fee for sound personnel
Other Items Needed
Questions/Comments
Signature
PLEASE NOTE:

*There is a $75 personnel fee for opening/closing the church.

*You are responsible for cleaning up the space you occupy after use.
Please email finance@dminc.org if you have any questions.
Should be Empty: