Today's Date
E-Mail
New Usage Request
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Name
Phone
Street Address
Cell
City
Date of Use
Prov
Purpose
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Postal Code
Time In - Time Out
to
Name of Deceased
Pastor's Church Affiliation
Pastor Performing Service
When would you like access to setup?
Setup Date
($50.00 fee if date other than funeral)
Time In - Time Out
to
Spaces Requested
Sanctuary
Fellowship Hall
Facility Use Fees
No facility use fee is required for funerals other than the following:
that of a sound technician, should those services be desired
a setup time that is outside normal office hours
Please check off the following items as will be required.
Please list requirements here (ie: tables, chairs, coffee pots, dishes etc.)
Sound Technician
Setup Date outside normal hours ($50.00)
We will refrain from smoking and drinking alcoholic beverages while using the facility. I understand that it is our responsibility to return the room(s) we use back to the original setup before we leave.
Name
