Event Request Form

Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Please note, in order to ensure that the space you will be using does not compromise the midweek or Sunday ministry they are intended for, we require a minimum fee of $100 to cover coordination, cleaning and man-power costs associated with an event. This is to ensure the space is left in ministry-ready condition. There may be additional fees as well depending on your needs and the type of event.

Date of Event*

MonthDayYear

Are you member Midtown?*

What facility space are you wanting to use?*

Students - 100 person maximum (75 max with tables)Barnwell - 100 person maximum (75 max with tables)Blanding - 350 person maximum (250 max with tables)Other

Is this a repeating event or a one time event? (if repeating - what are the dates you're requesting)?*

Time of Event (any additional details):*

Describe the Event*

Who is the Event Organizer*

What is your budget range (so we know if we will be able to accommodate your needs)?*

How much time will you need for setup?*

Do you need a microphone (or any other sound needs)?*

Do you need to use a screen?*

Will you have food?*

What's the attendee number?*

Will you be bringing anything to set up?*

Will you need chairs to be moved?*

Additional comments