Meeting Room Reservation Application Template - Copiage Memorial Library printable pdf download

Meeting Room Reservation Application Template - Copiage Memorial Library

50 Deauville Boulevard, Copiague, New York 11726 Tel 631‐691‐1111 Fax 631‐691‐5098

Application for Meeting Room Use

Date ____________________

Organization/Group Name___________________________________________________________

Location/Address________________________________________Tel. No.___________________

Person filing application____________________________________________________________

Address________________________________________________ Tel. No.__________________

Contact person___________________________________Email:___________________________

Nature/purpose of program__________________________________________________________

________________________________________________________________________________

Program Date[s]__________________________________________________________________

Program Time:

From____________ To____________

Approx. size of group________

Check requirements needed for program below:

1. Auditorium set up________

2. Roundtable discussion__________

3. Podium_______

4. Screen _____________

5. Stage required________

6. Piano ___________

7. Technical requirements _______________________________________________

Other requirements, if any______________________________________________________

Signature of Authorized Officer_______________________________________

Address__________________________________________________ Tel. No._______________

==========================================================================================================

For Library Use Only

Director’s recommendation

_____Approve

____Decline

11/2/16

Meeting Room Reservation Application Template - Copiage Memorial Library