Contact Kathy Long at [email protected] to confirm availability of your requested room prior to submission of this form.

* denotes required item

* Event Name:  
* Event Date:    Day of Week: 
Room Assigned:  
* Arrival Time:  
* Published start time:  
* End Time:  
* Requested By:    Phone: 
* Requester Email:  
Organization (if not WPC):  
* On-site Contact Name:    Phone: 
Type of Set Up Requested:     Lecture - number of chairs: 
  Card Table / Chair
  8-foot rectangular tables - number of tables:   with seating for: 
  Large Rounds - number of round tables:   with seating for: 
  Medium Rounds - number of round tables:   with seating for: 
  Custom Set Up (Please be specific)
 
Additional needs:     Unlock Room
  Podium
  Music Stand
  Easel
  Pitchers of Water
  Stage - Sanctuary
  Stage - WROC
Other:
 
Audio/Visual:     Sanctuary Quick Set (Pulpit/Lectern/2 handhelds)
  Fellowship Hall handheld mic
  WROC AV
  Chapel AV
  Large TV with HDMI & VGA
  Projector
  TV / VCR
  TV / DVD
  CD Player