Facilities Request Form

Facilities Request Form

Visit our website for our policies and information on room set ups, capacities and pricing.
Contact Name

First NameLast Name
Organization/Group
YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Event Information
Event Name
Event Purpose
One Time EventRecurring Event
DailyWeeklyMonthlyYearly
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Date Range of Recurrence (start and end date)
Exemptions when event will not occur (holiday breaks, etc.)
Date

MonthDayYear
Date
Time Event Begins
Time Event Ends
Set Up Time
Clean Up Time
YesNo
Ticket Price
Where can we direct inquires about your event (website etc.)?
YesNo
The variable rate for beverage service is based on your estimated attendance and will be included in the cost estimate.
YesNo
Providing Own FoodCatered
Caterer Name
Caterer Contact Person

First NameLast Name
Caterer Phone Number

Area CodePhone Number
Caterer Email
example@example.com
ROOM REQUESTED

Visit our website for pricing, room capacities and setups.
LuAnne Willey Fellowship Hall and StageMariposa Cafe
D-101 (Carpenter's Room)D-201 (Community Room)D-202 (TNT Room)D-204D-205D-206D-207D-212 (Arts and Crafts)D-211 (Conference Room)D-200 (Corner Conference Room)Student RoomGymnasiumNursery
Setup Information
Estimated attendance (number)
Type of Setup (Submit floorplan for banquet rooms)
Available Resources
St. Paul AV Tech must be present if our audio/visual equipment is being used. Cost for A/V Tech is $20/hour. (Two hour minimum.)
Sound Hookup/ipodLaptop HookupSmall PodiumPodium w/ MicStand MicWireless MicTVVCRDVD PlayerSound Cart* (at discretion of St. Paul UMC)EaselEasel w/ Paper ($10)LCD Projector and Screen ($150)Kitchen: Full Use ($250)Kitchen: Serving Line Only ($100)AV Tech Hourly fee: 2 hour minimum ($20/hr)
All events are required to have a custodian present for entire event. Cost per hour for custodian is $25.
Additional Comments and Instructions
Should be Empty:

Facilities Request Form

Event Information

ROOM REQUESTED

Setup Information

Available Resources