| INSTRUCTIONS: Print this page, complete all sections, and mail or fax the completed form | |
| Moolah Shrine Center 12545 Fee Fee Road St. Louis, MO 63146 Fax: 314-434-5393 www.moolah.org |
|
MOOLAH SHRINERS 2004 |
|
SHRINE CENTER RESERVATION |
|
| Date of Request | ______________________________ |
| Name of Unit/Committee/Club | ______________________________ |
| Name of event | ______________________________ |
| Date requested (1st) _______ (2) _______ (3) ______ | |
| Moolah room or facility requested OR | ______________________________ |
| Outside facility or location | ______________________________ |
| Approximate number of people attending | ______________________________ |
| We will have a joint event with to increase our purchasing/party
power |
______________________________ |
| Your name | ______________________________ |
| ______________________________ | |
| Mailing address | ______________________________ |
| CSZ | ______________________________ |
| Phone # | ______________________________ |
| Fax# | ______________________________ |
| NOTE: Once your date is approved, please forward a completed
Event Planning Guide form indicating your set up requirements to the
Moolah Shrine Center office. |
|
| Approved: | ______________________________ |
| Approval Date | ______________________________ |