Friendship Missionary Baptist Church 3400 Beatties Ford Road Charlotte, NC 28216 Phone: 704-392-0392 Fax: 704-391-5802 Dr. Clifford A. Jones, Sr., Senior Minister SPACE USAGE APPLICATION Sponsoring Organization: Representative Name & Address: Email Address(es): FACILITY REQUESTED: Choose your space from the drop down list(s) below. If other than what is listed, please specify. You may enter manually if more than one location. Please note: Space is assigned according to needs.You may not get the space requested. *Rental Fees may apply. If there are any concerns and/or questions, please contact Ms. Chandra Pretty, Reservations Coordinator, 704-391-6652. 3301 Campus: 3400 Campus: Work No. Other: Type of Activity: Estimated Number of Attendees? This determines your space: Please indicate if your event requires any of the services listed below. If so, it is your responsibility to complete the necessary forms, and/or contact the ministry chairperson. PLEASE FILL OUT (A) FOR A ONE-TIME ACTIVITY OR (B) FOR A CONTINUING ACTIVITY: (A) Date of Activity: Day of Week: Time of Activity: (B) Starting Date: Ending Date: Day(s) of Week: Time of Activity: Today's Date The Gallery @ Friendship: Sis. Shana Spicer/Sis. LaTwan Williams ([email protected]) @ 704-391-3858 if your event includes registration, product sales. PLEASE READ REVERSE SIDE FOR REGULATIONS BEFORE SIGNING I, the undersigned, have read the foregoing application, statement of purpose and the regulations on the reversed side. I understand and agree to the standards and requirements set before me. I also understand that FRIENDSHIP MISSIONARY BAPTIST CHURCH in its entirety will not be held responsible for any accidents or injuries occurring to any members of our group (participants) while using the facilities requested. No publicity for the above activity will be released until the space usage application has been approved with all required signatures. Upon approval, I understand that a confirmation will be given, either by USPS mail, email or telephone. Organization Representative/Position Date FMBC DeiVision DeiVision Minister/Date DAY(S) AND TIME OF EVENT/ACTIVITY: Home Phone: Usher's Ministry: Sis. Rosalyn Smith, 704-969-8731 (if offering is collected) Trustee Council: Bro. Kraig Holt, KHOLT3@ carolina.rr.com (if your event includes an offering) Does this activity/event include food? If so, for inside ministries contact the Culinary Representative, Alma Jones @ 704-391-3860 and for outside organizations/ministries, contact Chandra Pretty @ 704-391-6652. AV Equipment & Set-Up Request: This information is an important part of your space request. Please see attached document and submit along with your space usage application. *Fees may apply for AV equipment. Security Team: Rev. Paxton Hughes @ 704-391-3882 Traffic/Parking Attendants: Bro. Ed Holland @ 704-391-6650 Publication: Sis. Nicole Grice/Sis. Sharon Anderton, [email protected] Announcement/Bulletin: Contact: Alma Jones @ 704-391-3860