Meeting Room Reservation Form
Public Library for Union County
Date of application
*
-
Month
-
Day
Year
Date
Name of organization
Name of individual filing application
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Please enter a valid phone number.
Business Phone
Please enter a valid phone number.
Email
*
example@example.com
Estimated attendance for use
*
Date
*
-
Month
-
Day
Year
Date
Set-up time
*
Program starts @
*
Program ends @
*
Name of program
*
Brief description
*
Room required
*
Meeting Room A & B (100 Occupancy)
Meeting Room A (25 Occupancy)
Meeting Room B (75 Occupancy)
Conference Room C (4 Occupancy)
Children's Program Room D (100 Occupancy)
Equipment requested (*Indicates training required prior to meeting date.)
*
Podium (A,B,D)
DVD/Computer Projector* (A)
Corded Microphone* (A,B)
Laptop* (A,B,D)
Whiteboard/Flip Chart Easel (A,B,D)
Tables and Stacking Chairs (A,B,D)
Cordless Microphone/Lapel* (A,B)
Hearing Impaired Ear-phones* (A,B)
Kitchenette Space (A,B,D)
Zoom Station/Exam Proctoring (C)
None
The undersigned after reviewing the meeting room policy, on behalf of the above organization, agrees to inform participants of all regulations governing the use of the meeting room, to accept full liability for any damage to facilities or equipment, and to confine the organization’s activities to the assigned room.
*
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