Family Life Center - Rental Request Form
 
Family Life Center - Rental Request Form
Date of Rental Request  * 
Type of Event  * 
Description of Event, please included expected number of guests/participants. * 
Name of person responsible for event:  * 
Contact number of person responsible for event:  * 
Email address of person responsible for event:  * 
1st Choice for Date of Event and Time:  * 
2nd Choice for Date of Event and Time:  * 
Name of Person responsible for payment, if different from person responsible for event:  * 
Requested Venue:  * 
All requests are reviewed in the order received. If you do not receive a response within 10 business days, please contact the Life Center's Director, Keith Hale, at 843-797-0205.
If your request requires a more immediate response, please contact the Life Center's Director, Keith Hale, at 843-797-0205 or kjhale@mountmoriah.net.
Your Email Address  * 
 
 
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