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Churchville Branch Library Meeting Room Application
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Email *
Name of Organization *
Date of Meeting *
Time of Meeting *
Nature of Meeting *
Estimated Number Expected *
Please list the names, addresses, and phone numbers of up to two adult leaders who will be in attendance the full time of the meeting. *
President or Leader of your organization *
Your name and position within organization *
Your Address *
Your phone number *
Representative's signature (By typing your name below and submitting this form, you agree to abide by our meeting room policies.) *
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