WWU Church Facility Reservation and/or Rental Form

DO NOT CONSIDER THIS ROOM RESERVED UNTIL FORMAL CONFIRMATION IS RECEIVED
Rental date and time must include set-up time and clean-up time.

Timestamp

Sat Feb 4, 2012 12:29 am

* Organization/Individual

Group name:

Contact name:

Phone:

Cell #:

FAX:

Email:

Room requested:

	Fellowship Hall
	Youth Room
	Sanctuary
	Jr High Room
	Heubach Chapel
Other

Intended use:

* Date needed:

* Start time (including set-up):

* End time (including clean-up):

Fees/Deposits (see schedule)

Cleaning deposit ($100): Date paid:
Key deposit ($25): Date paid:
Rental fee: Date paid:

Chairs and tables must be returned to the storage room unless other arrangements have been made. All items brought into the facility by outside entities must be removed when the event is finished.

* By initialing this form, you acknowledge use of your electronic signature as shown:

Initials:

* Response required Form ID 295, created by FormIt 1.0