Pollard United Methodist Church
3030 New Copeland Rd., Tyler, TX, 75701
903.597.2571 / FAX: 903.597.4351

"Purple Sheet" Request Form

* What is the official name of your event?

* What group is the sponsor of this event?

* Who is the contact person for information?

* What is the contact person's phone number?

* What is the contact person's email address?

* What is the start date?

* What is the event start time?

* AM or PM?

* What date does the event end?

* End time for the event?

* AM or PM?

* Amount of Setup Time Needed?

* Amount of Clean Up Time Needed?

* Does this event repeat?

Yes

No

If yes, how often?

* Is this event open to the public?

* Estimated attendance?

Registration deadline?

Cost per person?

* Will you need a nursery?

Estimated number for nursery:

* What room(s) are you requesting for your event?

# Tables

# Chairs

Audio/Visual Needs:

Description of setup or special notes:

* Indicates Response Required


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