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Meeting Room Request Form
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Steps
1.
Contact Information
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2.
Meeting Information
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3.
Equipment Needed
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4.
Agree to Terms
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Contact Information
Organization
*
Contact Person
*
Phone Number
*
E-mail
*
Are you classified as a non-profit organization by the IRS?
*
Yes
No
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Meeting Information
Subject of Meeting
*
Meeting Date
*
Meeting Date
Start Time
*
Start Time
End Time
*
End Time
Meeting Open to the Public?
*
Yes
No
Anticipated Attendance
*
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Equipment Needed
Room Setup
Tables
Chairs
How many tables and/or chairs do you need?
A/V Equipment
*
Podium w/ microphone
DVD/CD player
VCR
Projector for PowerPoint
Speakers
No equipment needed
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Agree to Terms
I have read and agree to adhere to the policies and rules of the Board of Trustees of the Deer Park Public Library on the use of the Library Meeting Room. I understand that improper use of the Library Meeting Room, library furnishings, or A/V equipment will result in loss of future Meeting Room use privileges.
*
Yes
No
Approved?
Yes
No
Additional Comments
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