SML Meeting Room Request Form

STEVENS MEMORIAL LIBRARY MEETING ROOM REQUEST FORM

Please fill form out as completely as possible. Thank you.
Name of your organization*
What is the name of your organization?
Name of applicant*
What is your name?
Phone number*
Your contact phone number
Email*
Your email address
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Room requested*

Community RoomStory Time AreaPreservation Room
Date requested*

MonthDayYear
Arrival time*

Hour Minutes

AM/PM Option
End time*

Hour Minutes

AM/PM Option
Number of attendees*
How many people will attend?
Number of tables
How many tables do your require?
Number of chairs
How many chairs do you require?
Type of seating arrangement (please choose one)

Theatre styleU-shapeClassroomClustersBoardroom
Technology required

PALaptopProjector & screen
Purpose of meeting

CharitableCulturalEducationalIntellectualPoliticalRecreational
Activities that will be conducted
How will you be using our space?
Serving food and/or drink

YesNo
Please verify that you are human*
Should be Empty:

STEVENS MEMORIAL LIBRARY MEETING ROOM REQUEST FORM