Bethel Missionary Baptist Church
2607 South Avenue
Wappingers Falls, NY 12590
Phone: 845-296-0102
Email:bethelbaptist1@verizon.net
Room Agreement Form
PLEASE COMPLETE ENTIRE FORM
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Name of Organization
Responsible Person
Non-Profit Status:
(attach IRS determination letter)
Federal ID No.
Address
Organization's Day Phone
Fax
Email
Organization's Purpose
Event Name and Description
Date of Request
Contact Person's Name
Date(s) Requested
Start Time
End Time
Dates may not be scheduled more than nine months in advance, except with special permission
Will the event be recurring:
One Time Only
Monthly
Weekly
Multiple Days
Which Day of the Week:
(Choose one)
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Sun.
Room(s) Requested:
2607 Sanctuary (Glory to God)
2611 Sanctuary (Founders Building)
2607 Conference Room A
2611 Fellowship Hall
2607 Conference Room B
2611 Fellowship Hall Kitchen
2607 Multipurpose Room/ Choir Room
2607 Pantry
2607 Nursery
(available only by special arrangement with the Children Ministry and Trustee Board
Anticipated Number of Participants
Will a participant fee be charged?
Yes
No
Will food and drink be consumed?
Yes
No
Special Needs or Requests
Set Up Instructions