Fassett Community Room rental request form

Fassett Community Room rental reservation form

Please refer to the TPL Fassett Community Room Policy to make sure your meeting qualifies to be held in the Community Room
Organization Name:
Program Name (if applicable):
Purpose of meeting:
Community Room Reservation Request:
Community Room audio/visual equipment
Anticipated number of attendees:
Maximum Capacities: Community Room (100)
Frequency:
- Date Requested:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Time Requested:
  
  Hour Minutes
  
  AM/PM Option
  
  Until
  
  Hour Minutes
  
  AM/PM Option
  Total 0.0
- ** You will not be able to "Submit" this request if a date or time is missing
- Start Date Requested:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- End Date Requested:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Time Requested:
  
  Hour Minutes
  
  AM/PM Option
  
  Until
  
  Hour Minutes
  
  AM/PM Option
  Total 0.0
- ** You will not be able to "Submit" this request if a date or time is missing
- Please enter a list of Custom Dates with Start & End times denoted for each:
- ** You will not be able to "Submit" this request if this field is left empty
- Contact Person:
  
  TitleFirst NameLast Name
- Mailing Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Primary Contact Number
  Format: (000) 000-0000.
- Secondary Contact Number
  Format: (000) 000-0000.
- Contact Email:
  example@example.com
- Statement of Responsibility:
- Signature:
- I have read the TPL Community Policy. I understand and agree to the terms thereof. SPECIAL NOTICE: (1.) This submission does not guarantee the use of the Community Room (2.) The cancellation policy requires 48 hours notice (3.) The rental payment must be made no later than a day prior to the event. The reservation will be confirmed by a library staff member before the event can be scheduled by the responsible party. By selecting "Yes" below, I understand and agree that my electronic submission of this form constitutes my acceptance of responsibility and agreement to the terms and conditions set-forth.
- Should be Empty:

Fassett Community Room rental reservation form