Grace Apostolic Church

EQUIPMENT UTILIZATION REQUEST

Requested By		Phone Number ( ) home ( ) work
Equipment/Item		Color	# of Items
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Borrow Date	Return Date
Purpose
Signature		Date
Office use only
Approved By:		Date
Items Provided

(Return completed form to Sister Jacquelyn B. Shaw)