Facility Request Form Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Are you a member of Bethel Temple Church? * Yes No Event Type * Church Event Private Event Event Date * MM DD YYYY Start Time * Hour Minute Second AM PM End Time * Hour Minute Second AM PM Expected Attendance * Room(s) Requested * Please select the room(s) you would like to reserve for your event. Worship Center Children's Center Life Center Atrium Life Center Chapel Hospitality Room Classroom Brief Description of Event * Thank you!