Name *

First Name

Last Name

Are you a non-profit?

Yes

No

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is the date flexible *

Yes

No

Which room(s) are you interested in renting?

Sanctuary - CC

Chapel (fellowship hall) - CC

Community Room - CC

Is the event public or private *

Public

Private

Do you attend Resurrection Phl? *

Yes

No