Facility Reservation Form
 
 
MANCHESTER CHURCH OF THE BRETHREN
2017 FACILITY EVENT REQUEST
 
Date of Request: _____________ Date(s) of Event: __________________
 
Name / Organization: ___________________________________________________
 
Event: ___________________________________ Member of this church: Yes No
 
Preferred Contact Information: Name: _____________________________________
 
Mailing Address: _______________________________________________________
 
Telephone: _______________ E-mail __________________________
 
Event Hours: From _________________________ to __________________________
 
Set up time: ______________ Tear down/clean up time: ___________
 
Areas of Activity: ______________________________________________________
 
Set up Requests (tables, chairs…custodial help) _______________________________
 
______________________________________________________________________
 
Extras: (light, sound, equipment, access to kitchen) ____________________________
 
______________________________________________________________________
 
Key Requested: Yes No (a deposit may be required until key is returned)
 
Cost for your Event _____________________
 
If necessary the church agrees to provide a person (to be paid $20/hr) to assist with set-up, clean-up and tear-down. Please provide a diagram prior to your event.
 
If you do not wish assistance and your event required extra work upon inspection after the event, you will be billed accordingly.
 
Personnel taking request: _________________________________
 
Peg Wieland, Administrative Assistant
Manchester Church of the Brethren
Phone: 260-982-7523, fax: 260-982-7525
manchestercob@gmail.com