ACS - Queens FACILITY REQUEST FORM
Please fill this form to request the use of the ACS facility.
You will be contacted by email for final confirmation of your event after form has been submitted.

NOTE: Request submitted 14 days before your event date is NOT guarantee to be approved.

Name of GNYC Department or Local Church: *
Your answer
Person in charge of Event: *
Your answer
Email: *
Your answer
Telephone : *
Your answer
Date of Event: *
MM
/
DD
/
YYYY
Type of Event: *
Your answer
Event Starting Time: *
Time
:
Event Ending Time: *
Time
:
Number of people attending the event: *
Your answer
Please check the areas you will be using for your event: *
Required
Question or Comments:
Your answer
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