Facility Request

Name*
First Last
Email*
Phone*
Date of Event*
MM slash DD slash YYYY
Name of Event*
- Requires audio/visual equipment
Setup Time
Time for Cleanup
Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Is this a Recurring Event?*
Facility space:*
Other Space Required:*
Additional Information
enter any information you'd like for us to help you with this event
ORGANIZATIONS
Please, provide additional information below.
Organization's Name
Is this usage NON-PROFIT under the definition of the Attorney General? :
- Yes
- No / Non-applicable
Non-Profit tax exemption #, Insurance Carrier*

Please contact our office within two business days of sending your request if you do not hear back from us.

Los Gatos United Methodist Church
111 Church Street
Los Gatos, CA 95030
Phone: 408-354-4730
Email: lgumc@lgumc.org

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