First Name *

Last Name *

Phone *

Email Address *

Request Type *ActivityEventMeeting

Name of Activity/Event *0 / 75

Ministry Requesting *

Date of Meeting/Event/Activity Requested *

Start time of Meeting/Event/Activity Requested *

Hours–120102030405060708091011

Minutes–000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

AMPM

End Time of Meeting/Event/Activity Requested *

Hours–120102030405060708091011

Minutes–000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

AMPM

Location Preference *Light of the WorldJimmie Lee Smith Community CenterOffsite

If offsite, please give the name of the location.

Event/Activity Budget *

USD

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Payment Terms A security deposit equal to 1/2 of the facility rental fee is due at the signing of the Rental Agreement. The remaining payment is due in full 30 days prior to the scheduled event. Facility rental agreements made less than 30 days prior to the scheduled event must be paid in full within 48 hours of receiving the signed Rental Agreement. Cancellation Policy If a cancellation is made less than 60 days prior to event date, no monies will be refunded. If a cancellation is made 60 or more days prior to the event, fifty percent (50%) of rental amount is refunded and remaining rental amount and security deposit is forfeited.