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Email address
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Upper Room Cafe ($100 Flat Fee)
2nd Floor Conference Room
Kitchen
Youth Group Central Area
Sprouts (Elementary) Central Area
Other…
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Yes, and I will need fridge space
Yes, but I will not need fridge space
No
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Yes
No
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Your Name as Point Person
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Point Person Phone Number
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Name of the Event
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Date of event
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Time Start
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Time End
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Affiliated ministry team if applicable
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Expected Number of Attendance
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Room Request
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Please describe desired layout/ modification
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Will you be serving food?
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Will you need A/V?
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If you need A/V, what will you need?
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Any other questions/comments?
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