Plymouth Congregational Church, Minneapolis
                          Facilities Request

Today's date (mm/dd/yy):
Group Name:
Contact:
Event Name:
Phone # (xxx/xxx-xxxx):
E-mail Address:
Type of event:	Meeting Rehearsal Performance Presentation Other (Specify in Comments below)
Date Needed (mm/dd/yy):
Start Time (include "a.m." or "p.m."):
End Time (include "a.m." or "p.m."):
Number of people attending:
Number of long tables needed:
Number of oval tables needed:
Seating for how many?
Food/Beverage Needs?	Yes No
Audio-Visual Needs:	Podium TV/VCR Player TV/DVD Player Large Screen TV Microphone LCD Projector Flip Chart/Easel Wireless Computer Access (available in limited areas)
Billing Contact Name:
Address:
City/State/Zip:
Phone (xxx/xxx-xxxx):
E-mail Address:
Comments:
Plymouth Congregational Church is committed to environmentally responsible use of all resources. We ask users of our facilities to help fulfill this commitment by following all recycling instructions and avoiding, whenever possible, the use of disposable, non-biodegradable materials such as Styrofoam and plastic when conducting events at the Church. For your records, you'll receive an e-mail acknowledging your request and including the above submission information.