New Testament Church of Milwaukee
Facility Request Form
You must submit this form at least 2 weeks in advance for a meeting room
and 30 days in advance for a special event 

Date Submitted          

Requestors Last Name                                          Department (Check one)
Requestors First Name                                         Evangelization  Education
                                                                                                            Edification       Exaltation
Ministry's Name

Home Phone      Work Phone                                    

Title of Function
Description of Function
Date(s)   Start Time   End Time
Age Span     Number of People


For special room set-up, please submit a diagram of the arrangements.        
   Diagram attached        Yes       No                                                    
Number of Chairs     Number of Tables   Number of Podiums
Media Support (Check all that apply)
Computer     Projector     TV     VCR    DVD   Users    Sound Technician
Microphone(s)If yes enter amount

Send form to:   or print the form and give it to the Receptionist
Office Use Only
Room Assigned                                                                     Date Approved