Use of Facility

Use of Facility Request

Your Name*

Requestor

Email Address*

Phone Number*( ) -

Organization Name (if applicable)

Mailing Address

,

Event Name*

Is this a Flipper Temple AMEC Event?

Yes

No

Event Overview*

Event Date(s)*

Are there alternate dates for your event?*

Yes

No

Alternate Dates

Does the event repeat?

Yes

No

What time is your event?*

Please list start and end times.

Estimated number of attendees *

Will you be serving food at this event?*

Please check the space(s) you would like to reserve.*

Main Sanctuary

Chapel

Fellowship Hall/And Kitchen

Choir Room

Conference Rooms

Classrooms

Parking Lot (event held exclusively in the parking lot)

Will you need audio/visual (A/V)?*

Additional Comments and/or Requests

Please leave this field blank.

580 Atlanta Student Movement Blvd
Atlanta, GA 30314

(404) 522-5020