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POBSC Room Request Form
Please use this form when requesting a room for POBSC use at the Mid-Island Y. Please note that all requests must be submitted AT LEAST 5 business days in advance.
Email address *
Name of person requesting the room: *
Your answer
Cell phone number: *
Your answer
Today's date: *
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Meeting day: *
Meeting date: *
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Start time: *
End time: *
Room type: *
Approximate number of people: *
Your answer
Room Setup Style (enter as many as applicable): *
Required
Do you require a projector? *
What is the purpose of this meeting? *
Your answer
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