NORTHEASTERN CONFERENCE ACS CENTER FACILITY REQUEST FORM
Please fill this form to request the use of the ACS Center facility. You will be contacted by email for final confirmation of your event after form has been submitted.

NOTE: Requested submitted 14 days before your event date is NOT guaranteed to be approved.
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Name of Northeastern Conference Department or Local Church: *
Person in Charge of Event: *
Email: *
Telephone: *
Date of Event: *
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DD
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YYYY
Type of Event: *
Event Starting Time: *
Time
:
Event Ending Time: *
Time
:
Number of People Attending Event: *
Questions or Comments:
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