Facilities Use Request Form

Event Start Time
Event End Time
Set-up Start Time
Clean-up End Time
Room(s) Requested:

Home Phone (If this event is not a fund raiser and you are a member or ministry of DPC and you are completing this form more than one month prior to your event and do not know what your table, chair, AV needs are you may enter a date no less than one month prior to your event and the scheduler will contact you for your table, chair, AV needs.) I will know my table, chair, AV needs by (Use Date Box Below)...

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Dardenne Presbyterian Church

7400 South Outer 364 Dardenne Prairie, MO 63368     636-561-4347

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