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Meeting Room Request Form
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* Indicates required question
Name of the organization:
Your answer
Date/Time needed:
*
Your answer
Library Card Number:
Your answer
Room set-up Instructions:
Your answer
Briefly describe the purpose of your meeting.
The Library Director or designated representative shall review & approve all applications for room use. You will be notified if your reservation to use a room is approved.
*
Your answer
Equipment needed:
Your answer
Contact Information:
Name:
*
Your answer
Phone Number:
*
Your answer
Email:
Your answer
My signature signifies that I have read the Meeting Room Policy and agree to the stated terms.
eSignature:
Your answer
Date:
MM
/
DD
/
YYYY
I understand my reservation is not confirmed until I hear from the
Library Director or designated representative.
*
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