CHURCH FACILITY RENTAL AGREEMENT



CHURCH USE AGREEMENT AND Church Facility Rental Application

230 ½ S. 51st Philadelphia, PA 19139

Phone: 215-472-9551 Fax: 215-472-1397

E-Mail: PhilaPrayer@

|Date Application Submitted: | | |

| |

|Event Specifics |

|Requested Rental Day(s) and Date(s): | |

|Description of Event: | Wedding/Reception Funeral Meeting/ Presentation Other |

|Please explain “Other” or give any details for checked boxes: |

|__ Single Event | __ Recurring Use | |

|Number Attending: |Adults (18 and Older): | |Minors (17 and under): | |

| |

|Responsible Person |

|Name of Responsible Person: | |

| |Mailing Address: | |Phone #: | |

| | |Cell #: | |

| | |Fax #: | |

| |E-Mail Address: | | |

| |

|Requestor: | Member | |Group: | Christian |

| | Non-Member | | | Non-Christian |

| |

|Building and Equipment Usage Information |

|Room(s) and Number of Hours Required: | Sanctuary |# of Hours: | |

|*No. of hours includes set-up and | Fellowship Hall |# of Hours: | |

| break-down time. | Kitchen |# of Hours: | |

|Time of Arrival: | |Time of Departure: | |

|Number of Tables Needed: | |Number of Chairs Needed: | |

|Other Required Equipment: | |

Fee Requirements

| |Non-Member | |Listed fees are for 4 hours. Additional hours will be |

| | | |charged at a rate of $50.00 per hour, or any part of an|

| | | |hour. |

| | | |Security Deposit and Cleaning Fees are due when the |

| | | |contract is signed. |

| | | |Remaining Balance can be paid in full at the time the |

| | | |Contract is signed OR half at contract signing and ½ no|

| | | |later then two weeks prior to the date of the event. |

| | | |Cash, Money Orders, Cashier’s Checks Only. No Personal|

| | | |Checks. |

|Sanctuary |$ N/A | | |

|Fellowship Hall |$ 250.00 | | |

|Kitchen |$ N/A | | |

| | | | |

|Security Deposit |$ 100.00 | | |

|Cleaning Fee – |$ 50.00 | | |

|(Non-Refundable) | | | |

| | | | |

|Optional Fees | | | |

|Music/Audio/ |$ 50.00 | | |

|Technical Service Fee | | | |

| | | | |

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