Event Request Form

Phone: (248) 853-5390
Fax: (248) 853-7989
E-mail: contactus@smoth.org

Please note: This form requires at least three days advance notice to submit the form. If your event is less than three days away, please contact St. Mary’s Facilities Manager at 248-243-0262 to schedule your event.

If you have submitted a room request in the past three weeks, but do not see your event on the calendar please send the request again. Thank you, and we apologize for any inconvenience.

Please enter the following information for the event: (* required fields) .

Date of Event: *
Name of Event: *
Group Sponsoring Event: *
Additional dates (if applicable):
Event Start Time: *	:
Event End Time: *	:
Set-up Time (if needed):	:
Clean-up Time (if needed):	:
Number of People Attending: *
Contact Person: *
E-mail: *
Phone: *
Contact Person available during event: *
Phone during event: *
Room(s) Requested: *	GymSt. AndrewSt. AnselmEast OverflowConference RoomOther (list rooms below)
Other Rooms:
I would like to use this Room Set-up: *	Setup 1 (Presentation with tables and chairs)Setup 2 (Speaker with chairs only)Setup 3 (Large Banquet Gathering up to 240 ppl)Setup 4 (Small Banquet ie Funeral Lunch - up to 120 pp)Andrew/Anselm (8 round tables / 8 chairs per table)Andrew (4 round tables / 8 chairs per table)Andrew Meeting (4 rectangular tables)East Overflow (5 round tables)Conference RoomNone of these
Please enter a description of the room and setup:
Additional Items Requested: *	Paper plates, utensils, napkins, paper cups, plastic cupsRegular Coffee (includes cups, sugar, creamer, etc)Decaf Coffee (inludes cups, sugar, creamer, etc)Hot water (includes cups, sugar, tea bags)Ice water (includes cups)No additional items
Technical Equipment Requested: *	Video Cart (laptop, projector, DVD/VHS, speakers)Projection ScreenTV (includes DVD/VHS)PodiumNone Required
Additional Information:
Room Usage Rules
I have read and agree to follow St. Mary of the Hills room usage rules: *
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