APPLICATION FOR MEETING ROOM AND EXHIBITS SPACES

Library: ________________________________________ Date: ___________________

Name of Organization: _____________________________________________________

Address of Organization: ___________________________________________________

Type/function of Organization: ______________________________________________

Organization’s Website if available: __________________________________________

Type of Meeting/Exhibit (lecture, workshop, art, etc.): ___________________________

_______________________________________________________________________

Speaker: ____________________________ Topic: ______________________________

Date Wanted: ____________________ Hours desired: From________ until __________

Name of Applicant: ______________________________ Telephone: _______________

Address of Applicant: _____________________________________________________

E-mail of applicant: _______________________________________________________

Applicant has read the “Meeting Room Policy” and/or the “Exhibits Policy” and will abide by those guidelines:

Signature: ________________________________________ Date: _________________

Approved by: _____________________________________ Date: _________________

Attendance: ________

*PLEASE ATTACH A COPY OF ALL PUBLICITY ASSOCIATED WITH THIS PROGRAM