NBC#4 Program/Event Request 
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Today's Date *
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DD
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Ministry Name
WILL YOU NEED ANY OF THE FOLLOWING (Check all that apply) *
Required
Is this a Community Event (not at the church)? *
Required
If yes, where will the event take place (Venue and Address)
Purpose of Event/Service *
Requested Date of Event/Service *
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2nd Choice Date *
MM
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Start Time of Service/Event:  *
Time
:
End Time of Service/Event:  *
Time
:
Proceeds will go to: *
APPROVED BY: 
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