Facility Use Request Form

Name/Organization

Address

Date of Request

Phone

POC

Explanation of facility request if not mentioned above

Will you need to decorate the Sanctuary or other section being rented in advance?

Yes No

Date

NOTE: The Pastor, Musicians or other staff honorariums are solely the responsibility of the individual (s) renting the facility. Also, first Missionary Baptist Church is not responsible for any items left after the above - mentioned event (s).

I understand this is a building designated for Christian usage, and I pledge to abide and maintain by the rules as in accordance to the First Missionary Baptist Church of Biloxi Facility Use Policies and Procedures.

Responsible Party

Date

FOR OFFICE USE ONLY

Approved

Disapproved

Amount Charged

Amount Received

Authorized Signature

Date

Facility Use Request Form

FOR OFFICE USE ONLY

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