Meeting Request Form

Applicant's First Name *

Applicant's Last Name *

Applicant's Phone *

Applicant's Email *

Name of Ministry/Group *

Today's Date

Date of Event

Applicant's Address *

Applicant's State *

Applicant's City *

Applicant's Zip *

Regularly Scheduled Meeting *

Special Meeting/Event *

Food will be served at event *

Request Meeting/Event to be placed on Church Calendar *

Time set up must begin and be completed by? *

Time cleanup must be completed and off property by *

Purpose of Meeting/Event *

Facilities/Rooms Requested *

Alternate Location (Facility)

Alternate Location (Facility) Phone Number

Price for Room Rental, Additional Rental Fees, and Food/Beverage

Assistance requested of additional ministries or staffing

Special Instructions

NBCF Board Member *

Assigned Board Member *

Completed by *

reCAPTCHA *