The Upper Room Reservation Donation Form

The Upper Room Coffee House exists for people and only functions becuase of our generous volunteers and donors. Thank you for making a generous donation to help us cover our costs, continue to offer this service, and expand our offerings in the future!!

Suggested Donation Per Room

Conference Room ($10 an hour donation) Media Room ($10 an hour donation) Main Space ($50 donation per event, plus $20 an hour over 1 hour)

How many hours is your event?

Name

This address will receive a confirmation email

Suggested Donation: Enter the amount you'd like to give.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

The Upper Room Reservation Donation Form

Description

Please Fix the Following