Facility Use Request Form

 

A $100 deposit is required to secure your facility reservation. A check can be mailed or brought to the church office (2659 S Chipley Ford Rd, Statesville NC 28625) with FLC rental in the memo. Normal office hours are 10 am to 4 pm (Mon – Fri). This deposit will be refunded once all used facilities have been inspected for cleaning.

  • Date Format: MM slash DD slash YYYY
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  • FOR OFFICE USE ONLY

  • Date Format: MM slash DD slash YYYY