Request edit access
Bethlehem Lutheran Church Facilities Problem Report
Please fill out the information below to report a problem in the church or on church grounds. This form will go to the facilities manager . Thank you!
Name: *
Your answer
Date you noticed the problem: *
MM
/
DD
/
YYYY
Location of Problem (upper/lower level, room, etc.): *
Your answer
Description of problem *
Your answer
Do you prefer to be contact by email/phone if we have a question? *
Email Address:
Your answer
Phone number:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms