Member Request Forms

Member Request Forms

    Your Member Number (required)

    Your Name (required)

    Your Email (required)

    Your Telephone (required)

    Candidates Name (required)

    Candidates Date of Birth (required)

    Candidates Gender (required)
    MaleFemale

    Address (required)

    City (required)

    State and Zip (required)

    Mother's Name(required)

    Father's Name(required)

    Select Preferred Month(required)
    FebruaryAprilJuneAugustOctoberDecember

      Your Member Number (required)

      Your Name (required)

      Your Email (required)

      Your Telephone (required)

      Candidates Name (required)

      Candidates Date of Birth (required)

      Candidates Gender (required)
      MaleFemale

      Address (required)

      City (required)

      State and Zip (required)

      Mother's Name(required)

      Father's Name(required)

      Select Preferred Month(required)
      JanuaryMarchMayJulySeptemberNovember

        Your Name (required)

        Auxiliary/Organization (required)

        Contact Person (required)

        Contact Telephone (required)

        Date(s) to be included in Bulletin (required)

        Kingdom News Announcement (required)

        Any Graphics?
        YesNo

        If so, we will contact you with specifications,

        PLEASE CHECK ABOVE FOR ERRORS, THANK YOU

          Date Submitted (required)

          Date Required (required)

          Your Name (required)

          Auxiliary/Organization (required)

          Contact Person (required)

          Contact Telephone (required)

          Number of Pages Submitted (required)

          Number ofCopies Requested (required)

          Special Requests: Please label each sheet with special instructions and/or provide detailed instructions below.

          Uploads (.doc, .jpg or .pdf only)

          "Please Allow 24 Hours for your request to be fulfilled. For larger orders, please allow 48 hours. You may pick up your copy order from the front office."

            Auxiliary/Organization (required)

            Todays Date (MM/DD/YY)

            Contact Person (required)

            Telephone (required)

            Cell Phone

            Email (required)

            Type of Event (required)

            Frequency of Event (required)

            Start of Event: Date (required) (MM/DD/YY)

            Start of Event:Time (required)

            End of Event: Date (required) (MM/DD/YY)

            End of Event:Time (required)

            More Dates/Times? Please list additional information:

            Number of Guests (seating will be based on this number) (required)

            ______________________________________________________________________

            Area(s) Requested

            Multipurpose RoomNew Multipurpose RoomSanctuaryDomeJohn Huff Hall

            Meeting Room AMeeting Room BMeeting Room CMeeting Room DMeeting Room EConference Room A

            KitchenetteWest Lobby (outside Dome)East Lobby (Main entrance)Parking Lot EastParking Lot WestOther

            ______________________________________________________________________

            Room Arrangements / Other Requests

            Room Set-Up

            Auditorium StyleConference StyleHead TableRound TablesBanquet Tables-6ftBanquet Tables-8ft

            Equipment Needed
            MicrophonePodiumProjectorTVScreenChalk BoardCD PlayerDVD PlayerVHS PlayerLaptopPhone TapVideo Recording

            Other
            Security NeededGreeters NeededUshers NeededCollection/Offering

            Additional Items (costs apply)
            Catered FoodLinenNapkins
            ______________________________________________________________________

            Any additional questions or concerns?

            ______________________________________________________________________