United Faith Center Ministries International #UFCMI / Facility Use Request Form

Facility Use Request Form

Name
First Last
Ministry or Business Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Date(s) requesting building usage:
Date Format: MM slash DD slash YYYY

1
Date(s) requesting building usage:
Date Format: MM slash DD slash YYYY

2
Beginning Time:

: HH

MM
Ending Time:

: HH

MM
Time and day, you will need access into the building:
Time

: HH

MM
Date
Date Format: MM slash DD slash YYYY
Number of people attending:
Children
Area of request:
- Welcome Center
- Multi-purpose
- Sanctuary
- Kitchen
- Administrative Area
- Office
Will you be bringing food?
- Yes
- No
Set-up: Select Below
- Table and Chairs
- Chairs Only
Number of 8 – foot long tables need for food and beverages
Number of 8 – foot long tables with chairs for seating
Number of round tables needed for food & beverages
Number of round tables needed for seating
Signature of Requestor
Date completing form
Date Format: MM slash DD slash YYYY