**NOTE - This form is for communication purposes. Your request must be approved before the date is secured.
Contact Information
Name:
Organization:
Phone Number: * Required
E-mail: * Required
What date is the event?
Enter Date:
Which room(s) would you like
to request?
Celebration Center
Student Center
Auditorium
Youth
Room;
Upstairs
Class Room(s)
Downstairs
Class Room(s)
Nursery
Foyer
Chairs
Number of Chairs:
Tables
Number of Tables:
What time do you need the facility?
Enter Times:
Extras: (a janitorial fee may be required to used the facility)
Select all that apply
I will need the use of the sound equipment / Sound personnel. (additional charge)
I will need use of the kitchen.
I will need help with the stove's pilot light.
Please briefly describe the event and any other useful information for consideration.
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ankeny evangelical free church - a member of the evangelical free church of america 
