Simple Room Request

    THIS FORM IS ONLY TO BE USED IF YOUR EVENT IS:

    ON A SINGLE DAY

    DOES NOT INVOLVE THE USE OF A CATERER

    WILL NOT BE SERVING ALCOHOL

    AND HAS LITTLE OR NO A/V NEEDS.

    (Bringing in prepared snacks and non-alcoholic beverages are allowed, except in our Sanctuary.)

    ALSO, PLEASE NOTE THAT ALL ROOM REQUESTS ARE NOT CONFIRMED UNTIL YOU HEAR BACK FROM US.

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    Select the Type of Event you are Requesting? (Required)

    Your Group or Organization's Name (required)

    Is your Organization a Non-Profit Organization? (Please Note: To be eligible to receive our Non-Profit rates, you will need to submit a copy of your IRS Determination Letter.)

    YesNo

    Event Title (required)

    Brief Event Description (required)
    (This description only helps with the booking of your event and does NOT appear in any USSB Publications.

    Contact First Name (required)

    Contact Last Name (required)

    Phone Number

    Your Email Address (required)

    What is the Date of your Event? (required) (mm/dd/yyyy)

    If your first Date choice is unavailable, please enter a Second Choice that would work for you?

    Time of Day You Need the Room (To begin setting up - Required):

    Time of Day Your Event Will Begin:

    Time Your Event Will End

    Time You Will Leave the Room - (Required):

    Which of our room(s) do you want to rent? Required. (see list below; hold CTRL + Click to select multiple rooms)

    Are you charging an admission or requesting donations?

    YesNo

    If you answered YES, please provide details here:

    About How Many People are you expecting will attend your event?

    If Chairs Needed, How Many?

    If Round Tables Needed (66"), How Many? (Additional charges will apply.)

    If Rectangular Tables Needed, How Many?

    Projector Needed?

    YesNo

    IF YES - Source of Your Video (Laptop, DVD, Other)

    Sound System Needed?

    YesNo

    IF YES - Source of Sound (Laptop, Phone or Tablet, Our Microphone, Other)

    Might your Room Use impact other Room Users or the Church's residential neighbors? (Will you have amplified music, be showing a film, have people coming and going frequently, conducting a drum circle, etc.?) Please let us know of any activity that might "go beyond your room". Thank you very much.)

    YesNo

    If Yes, please explain:

    Comments, Questions, Setup Instructions or Special Requests