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APPLICATION FOR USE OF MEETING ROOM and ROBBINS ROOM
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Application for Use of Meeting Room and Robbins Room
Date
Date
Library Card Number
Official Name of Group:
What is the primary purpose of your group?
Date and Time
Date and Time
Date and Time
Expected length of program
Expected Attendance
Requested room
Large Meeting Room (50 people maximum capacity)
Robbins Conference Room (12 people maximum capacity)
Will you be submitting an addendum form and $25 fee to request use of food and beverage in the large meeting room? (Note: Request not finalized until application is approved and fee is paid with cash or money order. The addendum is for the large meeting room only. No food may be taken into the conference room.)
Yes
No
Representative Completing Application (adults only)
First Name
Last Name
Office Held
Address
City
State
Zip
Telephone
Email
I, as an officer of the group, accept responsibility for any damage to the Library as a result of this meeting. Any damage caused during the meeting will be charged to the cardholder’s account listed above. By signing below, I am attesting that I have read the Meeting Room Policies, I agree to abide by all regulations stated therein and that my organization does not unlawfully discriminate in its membership policies.
Signature
At the conclusion of your meeting, PLEASE PROVIDE THE LIBRARY WITH THE NUMBER OF PEOPLE WHO ATTENDED.
*An additional form is provided in order to include food and/or beverages in your meeting.
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