Exhibit Requested:

_____The Many Faces of Count Zinzendorf

_____John Valentine Haidt: Life of Christ

_____Where in the World is the Moravian Church?

_____Father of Modern Education: John Amos Comenius

Applicant Information:

User Organization ____________________________________________________________

Address____________________________________________________________________
___________________________________________________________________________

Person in charge of Exhibit___________________________________

Phone (h)____________(w)____________

Requested Exhibit Dates (each user may have the exhibit over 2 Sundays, about 2 weeks):

First Choice________________________________

Second Choice______________________________

No preference; whenever in our area____________

Any special information concerning your choice of dates that we should know about (i.e., you want it for your mission festival or your congregation's anniversary, etc.):

Exhibit will be mounted in:

_____narthex or entryway
_____Christian Education hallway
_____fellowship hall
_____other (please describe):_________________________________

Wall surface where exhibit will be mounted is:

_____painted cement block
_____plaster/sheetrock
_____wood paneling
_____wallpaper
_____bulletin board
_____fabric or burlap
_____other (please describe):

We plan to attach the exhibit to the wall with _____________________________

Exhibit dates will be confirmed in writing upon receipt of this application. A bill for the $25 use fee will be mailed with your advance packet.

Applicant Agreement

I hereby accept responsibility for receiving and mounting this exhibit; for repacking it and shipping or delivering it to the next user in the same condition as I received it; and for any publicity associated with the exhibit. I will not copy, reproduce, or otherwise use the photographs for any purpose not associated with the exhibit or publicity for the exhibit.

Signed:___________________________ Date:_________________