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2. Date of Application
   Date of Application

   Date of Application
4. Name of Organization
6. Name of Applicant
8. First Name
9. Last Name
11. Address1
13. City
14. State
15. Zip
17. Phone Number
19. Position in Organization
21. Start of Meeting/Event
    Start of Meeting/Event

    Start of Meeting/Event
    Please factor in time for set-up and breakdown; all meetings must end and be cleaned up PRIOR to the libray's closing time.
22. Completion of Meeting/Event
    Completion of Meeting/Event

    Completion of Meeting/Event
24. Anticipated Attendance
26. Nature of Meeting
28. Speakers
30. Topics
32. Equipment Needed
34. Maximum of 6 months advance booking. After 6 months, please resubmit application.
36. I have noted the provisions for use of the Community Room and agree to comply with them.

    1. Yes
    2. No
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field