Chicago Temple – United Methodist Church » Room Request Form

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Room Request Form

Please fill out the information below to request a room reservation:

Event Details

Date of Event *Day of week/month/day/year
Name of Event *As it is to appear on calendar
Type of Event *
Anticipated Attendance

Event Time

Time(s) of Event *Exact time event begins/ends
Time needed for access *before & after
Specific Room Requested(if known)

Contact Info

Contact Name *
Contact Phone Numbers
Contact Email (also web site if available)
Contact Organization/Address

Type of Set Up

Type of Set Up(Indicate one or more and add pertinent descriptions.)
Conference Style Class Room Style Theater Style Square U-Shape Podium Microphone Piano Registration Table Easel Flip Chart Trash Container White Board
# Tables (round/rectangular)
# Chairs
AV(describe)

Specific Needs

Special Need or Instructions
Church Contribution commitment
Does this event reoccur on regular basis? If so, describe frequency
What is the purpose of this event:

Verification

Please enter any two digits with no spaces (Example: 12)*

This box is for spam protection - please leave it blank:

Scheduling Contact: Jonni Miklos
Jonni@ChicagoTemple.org
FAX 312-236-4106

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77 West Washington / Chicago, Illinois 60602 / Phone: 312.236.4548
(corner of Clark and Washington, across from Daley Plaza)