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)
If your event does not fit the categories above, what is it?
Date Needed (mm/dd/yy):
Start Time (include "a.m." or "p.m."):
Please note: A $75 public safety fee will apply if your event starts 7:00 p.m. or later on Friday 2:00 p.m. or later on Saturday or Sunday
If arrival for your event is prior to 8:30 a.m., a designated person from your organization must be provided to allow building access for your guests. Event representative's name and contact phone number:
End Time (include "a.m." or "p.m."):
Number of people attending:
In addition to standard set-up, number of long tables needed ($40 fee applies):
In addition to standard set-up, number of oval tables needed ($40 fee applies):
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.