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CBC Facility & Equipment Usage Request
Used to request CBC facilities for events
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* Indicates required question
Who is the Point of Contact?
*
Your answer
What is the Event?
*
Your answer
What equipment do you need?
*
In comments below, list "other" equipment you would like to use and the number of each item desired
chairs
tables
other
What date and time do you need the equipment or access to the facility?
*
If you need a recurring basis (e.g. weekly), please indicate that in the notes section at the end.
MM
/
DD
/
YYYY
Time
:
AM
PM
How long will you need the equipment or access?
*
Hrs
:
Min
:
Sec
Which facility are you requesting to use?
*
Choose
CBC - Benchmark Centre Drive, Swansea
Hartman - 590 Hartman Lane, O'Fallon
Which rooms/areas are you requesting to use?
*
CBC - Sanctuary
CBC - Fellowship Hall
CBC - Kitchen
CBC - Classroom 1
CBC - Classroom 2
CBC - Nursery
Hartman - Indoors
Hartman - Front Field
Hartman - Back Field
Other:
Required
Do you need someone to open the facility for you?
*
Yes
No
Do you need to use Audio/Visual equipment (CBC only)?
*
Yes
No
Please enter any notes or additional information you would like to add to this request.
Your answer
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