Bethesda COGIC

Request form for usage of the Church Buildings

Main Campus   Main Sanctuary Administrative Building

Down-Loadable Forms
Weddings Doc (Word 97-03)
Funeral Doc (Word 97-03)

Applicant Info
Type of Use:
FuneralWeddingOther Use
Please Explain Other Use
First Name
Last Name
Current Address (Full Address: Street, State, Zip)
Daytime Telephone #
Cell Phone #


Church/Organization Name
Church/Organization Address

Additional Info
Desired Date of Use
Desired Time of Use
Non-Member: $200Non-Tithing Member: $200
*Additional $100 for Pastor's Fee*
More Info/Comments
Payments should be made in the form of a check or money order payable to: Bethesda COGIC. Mail to: Bethesda Church of God In Christ, P.O. Box 1624, Newark, NJ 07102.

© 2013 Bethesda COGIC All Rights Reserved | 546 Clinton Avenue Newark, NJ 07108