Maryland Community Church :: Unite, Grow, Go


	SERVING "OUTSIDE THE CIRCLE DRIVE"

Facility Request Form-

Maryland Community Church 4700 S. SR 46 Terre Haute, Indiana 47802 Phone: 812-234-7100 Fax: 812-238-0976
To request use of our facility, please fill out the below. Submission does not guarantee a reservation. You will receive a confirmation e-mail when your event is scheduled. There may be charges for some events. You will be notified in the confirmation e-mail if this will be the case. *denotes required field.

Event Information:
*Day(s) of Event
*Date(s) of Event thru
*Room(s) Requested Click here for facility map.
*Event Title
Time of Needed Building Access
From: To:

Ministry Information:
*Contact Name:
*Staff Contact Person: This field must be completed for form submission