REQUEST FOR USE OF CHURCH EQUIPMENT

Name*
First Last
Email*
Phone*
Person or Church Ministry*
Name of Person Responsible:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
REQUEST FOR USE OF:*
Date Requested*
MM slash DD slash YYYY
Date Returned:*
MM slash DD slash YYYY
I agree to return the borrowed equipment in the condition I received it. I will be responsible for any and all damages to this equipment. I will replace this equipment if repairs cannot be made.
Signature*
Date
MM slash DD slash YYYY
Hidden
MUST BE APPROVED BY CHURCH ADMINISTRATOR