Facility Rental Request Form
Venue Desired
Worship Center BLC Gym Room 301 B Reception Room Room 106/108
Other (Please Elaborate)
Date Desired
Rehearsal: Wedding:: Reception: :
Time Desired
Rehearsal: Wedding: Reception:
From: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M. From: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M. From: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M.
To: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M. To: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M. To: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 A.M. P.M.
Other Critical Information
Details:
Wedding Service Options
In order to better serve you, would you please take a moment and check any items that apply to your event. Also, please be reminded that
microphone set-ups for multiple sites/complex lighting arrangements can certainly result in significantly increasing the hourly charges.
Video or slideshow Soloist Keyboard String Quartet
Guitar Choir Pre-recorded Music Scripture Reader
Reception Music Reception Speaker Reception Video or Slideshow
Other (Please elaborate)
Wedding Planning VIPS
Please list the names, addresses, phone numbers, and e-mail address of the following important wedding planning personnel in the event that we might need to make a critical contact.
Wedding Planner
Name: Street Address:
City: State: Please Choose ...AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontVirgin IslandsWashingtonWisconsinWest VirginiaWyoming ZIP:
Business Phone: Cell Phone: E-Mail:
Florist
Photographer
Caterer
Videographer
Your Information
All fields below are required.
First Name: Last Name:
Street Address:
Daytime Phone: Cell Phone, or Secondary Contact Phone:
Your E-Mail Address:
By clicking submit you agree to the terms of this contract as stated on the previous pages of Southwest Church of Christ’s Wedding/Reception Facility Rental Agreement and understand that this is only a request for rental and the reservation will be finalized once you are approved for requested arrangements.