Church Items Checkout Form

Name

This address will receive a confirmation email

Phone

Address

The above-named person will incur all expenses for the repair or replacement of any or all equipment checked out.

items needed / description (please include quantities)

Reasons needed

Date items received

Date items will be returned

Additional comments

For Office Use Only

Date items were returned

Items returned to

Description

Please contact Helen Buechley when checking out and returning items.
helen@clfroseburg.com

Please fill out this form and click submit.