Facility Use Request & Agreement Form
If you have any questions please email info@tbcnh.org or call 603-225-3999. Thank you!
Email address *
Name of person or organization requesting use: *
Your answer
Address: *
Your answer
Phone Number *
Your answer
Please indicate whether you are a: *
If the requested use is by an organization not affiliated with the church, please briefly state the organization's purpose and mission: *
Your answer
Please list the organization's website, if any: *
Your answer
Please list the names of the organization's office-holders and leaders: *
Your answer
Regardless of type of user, please describe which church facilities you are requesting use of and the purpose for which you intend to use the facilities: *
Your answer
Please list the area to be occupied within the facilities (i.e. Auditorium, Fellowship Hall, Room 212, etc.),and any and all equipment and/or services being utilized during occupancy (i.e. piano, chairs, tables,etc.): *
Your answer
What date(s) and time(s) are you requesting to use the facilities: *
Your answer
I affirm the following (please read each statement and check each box): *
Required
Name *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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