Springhill M.B. Church
Wednesday, September 08, 2010
A New Experience for Your Life

Facility Rental

 

Date of Request       

First Name             

Last Name            

Phone Number      

Email Address       

If confirmation is needed, please re-type email

                           

Member Status     

Part of Facility Needed for Event

                            

Type of Event        

If other, please specify

                            

Date of Event           

Time of Event           

                             
 
CONFIDENTIALITY NOTICE: 
This form contains legally privileged, proprietary and/or confidential information intended solely for the use of Springhill Missionary Baptist Church. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, duplication or other use of this form is strictly prohibited.