Facility Usage Request

Phone: 803.547.5543
FAX: 803.547.7825
E-mail: dsbutler@unityfortmill.org

Organization Requesting Space:
Contact Person:
First
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Date
Date Format: MM slash DD slash YYYY
Time of Event:

: HH

MM
Times: Set-up:

: HH

MM
Clean-up:

: HH

MM
Set-up Required:
Space being requested (check all that apply):
- Fellowship Hall
- FH Parlor
- Sanctuary
- Classroom
If Classroom - please specify room #
Will kitchen be used?
- Yes
- No
Will cooking be done on Premises?
- Yes
- No
Facilities Fee:
USD
Sexton Clean up fee:
USD
Unity Contact:*
First Last
Date
Date Format: MM slash DD slash YYYY
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