Meeting Request Form

Applicant's First Name

Enter your first name.

This field is required.

Applicant's Last Name

Enter your last name.

This field is required.

Applicant's Phone

Provide a phone number for contact.

This field is required.

Applicant's Email

Enter a valid email address for confirmation.

This field is required.

Applicant's Address

Enter your complete address.

This field is required.

Name of Ministry/Group

Enter the name of your ministry or group.

This field is required.

Applicant's State

Enter the state in which you reside.

This field is required.

Applicant's City

Enter your city.

This field is required.

Applicant's Zip

Provide your zip code.

This field is required.

Regularly Scheduled Meeting

Is this a regularly scheduled meeting?

Yes

This field is required.

Special Meeting/Event

Is this for a special meeting or event?

Yes

This field is required.

Food will be served at event

Will food be served at the event?

Yes

This field is required.

Purpose of Meeting/Event

Provide a brief description of the purpose of the meeting/event.

This field is required.

Facilities/Rooms Requested

Select what facilities/rooms are requested.

Church Bulletin

Announcement

Newspaper

This field is required.

Alternate Location (Facility)

If applicable, provide the name of the alternate location.

This field is required.

Phone Number

If applicable, provide a contact number for the alternate location.

This field is required.

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

Provide details regarding costs associated with the room rental and any additional fees.

Assistance requested of additional ministries or staffing

Specify any assistance required for your event.

Special Instructions

Provide any special instructions for your event.

NBCF Board Member

Enter the name of the NBCF board member associated with this request.

This field is required.

Assigned Board Member

Enter the name of the board member assigned to this request.

This field is required.