THE
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615-254-7584
APPLICATION FOR USE OF THE BUILDING:
NAME OF ORGANIZATION_______________________________________________
TYPE OF ORGANIZATION________________________________________________
CONTACT PERSON ___________________ DAYTIME PHONE ________________
ADDRESS______________________________________________________________
DATE REQUESTED ___________________ HOURS REQUESTED _____________
SPACE REQUESTED _____________________________ SIZE OF GROUP ________
WILL FOOD BE SERVED? ______ IF YES, WHAT TYPE ______________________
DESCRIPTION OF ACTIVITY
________________________________________________________________________
FEE FOR USE OF FELLOWSHIP HALL $ 200.00 ________________
FEE FOR USE OF KITCHEN $ 75.00 ________________
FEE FOR USE OF SANCTUARY $ 500.00 ________________
CUSTODIAL FEE PER HOUR PER CUSTODIAN $ 15.00 ________________
CUSTODIAL MUST REMAIN ON PREMISES WHILE BUILDING IS IN USE. WE
RESERVE THE RIGHT TO REQUIRE TWO
CUSTODIANS FOR GROUPS OF 25 OR MORE.
ANY OTHER COMMENTS
____________________________________________________________________
A REFUNDABLE DAMAGE DEPOSIT OF $ 250.00 FOR THE SANCTUARY AND
$ 100.00 FOR OTHER IS REQUIRED IN ADVANCE FOR USE OF THE BUILDING.
DATE OF APPLICATION _________________________________________________
SIGNATURE OF APPLICANT _____________________________________________
APPROVED _________________________________ DATE __________________
REFUSED ___________________________________ DATE __________________