Request Use of Meeting Room

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If you would like to request use of our meeting room, please fill out the form below. We will get in touch with you as soon as possible to discuss your request.

Don’t forget to read our Meeting Room Policy (PDF)

Name of Organization *
Is your organization non-profit?
- Yes
- No
Authorized Representative*
FirstLast
Address*
Street AddressAddress Line 2CityStateZIP Code
Phone*
Email
First Requested Date*
Start time for this date*
: HH
MM
End time for this date*
: HH
MM
Additional Requested Date
Start time for this date
: HH
MM
End time for this date
: HH
MM
Additional Requested Date
Start time for this date
: HH
MM
End time for this date
: HH
MM
If you need additional dates, please enter the date, start time, and end time below.
Equipment needed*
- Chairs
- Tables
- Movie Screen
- Stove
- Refrigerator
- None of the above
If you need chairs, how many do you need?
Please enter a value between 1 and 150.
If you need tables, how many do you need?
Please enter a value between 1 and 15.

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