29860 Dequindre Road
Warren, MI 48092

Office: (586) 751-7750
Fax: (586) 751-3299

Request Form

Use this request form for fast e-mail to office
for usage of church facilities, or to put events on
church calendar, or advertise events in bulletin, newsletter or website.

( auto e-mail reply! so please use real e-mail address )

 
FIELDS MARKED WITH * ARE REQUIRED!
Your Name:*
   

 E-Mail Address:*
   

 Phone Number:
    (000) 000 0000

 Name of Event:*
   

 Date of Event:*
    mm/dd/yy

 Time of Event:*
    ex: 7:30pm

 Ministry or Sponsor:* 
   

 Room Requested:*
   

 Additional Rooms:
   

 Time you need to be in the building for setup:
    ex: 7:10pm
   
 Time you will be out of the building after cleanup:
    ex: 9:30pm

 Announcement in bulletin, newsletter or website:
      (if submitted in time and space permitting)
   

 Add to Mailing List:
   Yes
   No

 Need to be contacted about event:
   Yes
   No

 How did you find us:
   Member
   Friend
   Surfing



 When done, please  or 
   
Note: All events and or meetings must go through the church office first to be included on calendar, in bulletin, and in the newsletter. Please!!