Meeting Room Reservation
To submit a request for use of a meeting room, please fill out the form below.
Name of Organization
Name of Organization
Contact Person
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2nd Contact Person
First Name
Last Name
2nd Email
example@example.com
2nd Phone Number
-
Area Code
Phone Number
Purpose of Meeting
*
Date of Use
*
-
Month
-
Day
Year
Date Picker Icon
Start Time (please include any setup time needed)
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
End Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Number attending
*
Room Requested
*
1/2 Room (20 people w/o tables)
Full Room (30 people w/tables / 90 w/o tables )
Equipment Needed
*
No Equipment Needed
Coffee Makers
DVD player
LCD Projector
Marker Boards
Microphone
Podium
Projection Screen
Sink
Tables
Refreshments Served
Yes
No
Is your Organization
*
Hamburg Township Non-Profit (FREE)
Outside Hamburg Township Non-Profit (FEE)
Hamburg Township For-Profit (FEE + Insurance Certificate)
I have read and accepted the Meeting Room Policy/Release of Liability Waiver shown previously
*
Yes
No
Submit
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