Instructions for completing the form

To move to the next field, press the tab key or mouse click in the field.

To send, click the Submit button at the bottom of the form.

Caution: If you are using Internet Explorer, pressing ENTER will submit the form.

Please enter your name:   

Organization/Event:   

Today's date:   

Your email address:   

Phone number where you can be reached during the day:   

Material Needs

Our storeroom is open for you to help yourself. If there are supplies missing, please let us know by putting a note on the bulletin board (by the light switch) and we will replace them. If there are supplies you need for a special project, please check with Joan Brausch, director of Adult Formation, for reimbursement authorization.

Handouts

Number of copies needed:   

Information to be copied can be mailed to or dropped off at the Faith Formation Office in the Parish Center or sent as an e-mail attachment to maryanns@blessed-midland.org

Post Card Information

Date for mailing post cards:   

Room Request

Day and Date room is needed:   

Time room is needed (including set up & clean up):
  from      to   

Time of event:
  from      to   

Group Size:   

Tables:    Round     Rectangular     Both
[If special table arrangement is needed, please provide details in Special Request field below.]

Chairs   -   How many:  

Microphone

Overhead Projector

Slide Projector

VCR

TV

Screen

Podium

Special Request

Other Information