CHURCH RENTAL REQUEST

CHURCH RENTAL REQUEST
Name*
PHONE: *
E-mail*
example@example.com
Date & Time requesting: (NOTE: request must be submitted at least 2 weeks in advance. Advance requests do not guarantee approval)*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Purpose of Church use: (NOTE: $25 deposit required to secure date & time)*
Equipment or items needed:
Sound Personnel (Type - YES/NO): NOTE: There is a $75 fee for sound personnel
# of Tables / Chairs (Tablecloths not included):
Other items (specify):
Questions/Comments:
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.
Signature & Date:

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Equipment or items needed: