Diocesan Pastoral Center Reservation Request

TITLE OF PROGRAM:

Date of Program:

Contact Person:

First Last

Phone #:

Email

Billing Address (for Community groups):

Street Address Address Line 2 City State ZIP Code

Number of Expected Persons:

Arrival Time for Meeting Hosts:

Event Times:

Departure Time for Meeting Hosts:

(Estimated arrival times and departure times account for pre-event preparations and clean-up at conclusion of event)

Use of Chapel?:

Room Arrangement Needed:

Technology and Equipment Needed:

*Other Special Instructions?:

For Non-Catered Meetings/Events, Drink Service Needed?":

Drinks