Mt. Sinai Baptist Church Facility Request Form 
Thank you for your interest in having your upcoming event at the MSMBC facility. Please complete this form and we will be happy to check your date and get back to you in five business days as to whether your request has been approved. If approved, we will let you know what your next steps will be. 
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Name  *
Is this a recurring event? (If yes, the event planner will contact you). *
Date of Request *
MM
/
DD
/
YYYY
Email Address *
Phone Number
Event *
Event Date *
MM
/
DD
/
YYYY
Event Start Time
Set up will be (2) two hours prior to start time. 
 *
Time
:
Event End Time *
Time
:
What space(s) will you need?
Check all that apply.
 *
Required
Number of people attending
 *
Food or Beverage served? *
Will the food be catered? *
Caterer contact information 
(If you are not using a caterer, type N/A)
 *
Will you need to prepare food in the kitchen? *
Is there a registration fee for the event?
If yes, how much?
If not, type N/A)
 *
Other requests (N/A if you do not have any other requests) *
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