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2. Application for Use of Meeting Room
4. Name of Organization
5. Purpose of Organization
7. Contact Person
   (Must be 18 years of age or older)
9. Library Card Number or Other ID
11. Address
13. City
14. State
15. Zip Code
17. Personal Phone Number
18. Work Phone Number
20. Date Requested
    Date Requested
22. Times Requested
    Times Requested Start Time

    —

    Times Requested End Time
23. Times Requested
    Times Requested Start Time

    —

    Times Requested End Time
25. Times Requested
    Times Requested Start Time

    —

    Times Requested End Time
26. Times Requested
    Times Requested Start Time

    —

    Times Requested End Time
28. Estimated Attendance of Meeting(s)
30. I have read the meeting room policy and procedures, and I agree to comply with them. I agree to be responsible for the conduct of the members of this organization during the time they use the Library 's meeting room space.
32. Signature of Contact Person
33. Date
    Date
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field