Memorial Lutheran Church
Office: 2602 E. 28th St., Vancouver WA 98661
360-695-7501 (M-F, 9-1) Email: firstname.lastname@example.org
Church Member: Facility Use Request Updated: 3/4/2017
Make the request as simple as possible, one activity/venue per form. Example: Store food basket supplies, Bible Study series, decorate Easter eggs.
You will receive an email response after a review of this request.
*Required Information: Failure to complete these sections this request will not proceed or may be denied
*Today’s Date: ___________ *Name of Activity: __________________________________
*Contact Person: _____________________________________________________________
*Contact Phone:______________________ *Email: ______________________________
Criteria for use of Church rooms (exclusive of Parish Hall): Is this request for a Ministry or Church sponsored activity? Per Operations Ministry Area Leader
*Activity Description: ___________________________________________________________
*Room Preference:_____________________________ *Estimated Attendance: __________
*Frequency: Circle One; Daily Weekly Every two Weeks Monthly Quarterly
*Time “Setup Staff” Enters and Leaves the Building: _______________________________
Submit completed form to email@example.com or submit request to the Church office, Office: 2602 E. 28th St., Vancouver WA 98661, 360-695-7501 (M-F, 9-1) .
Thank you, Memorial Lutheran Church and Facilities Coordinator
Equipment: Notify Jim Wulf in writing or email (firstname.lastname@example.org).