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2. Name of person requesting space:*
3. Phone:
5. Email:*
6. Name of organization or group:*
8. What date are you requesting?*
   What date are you requesting?
9. What time?*
   What time? Start Time

   —

   What time? End Time
11. How many will attend?
12. Will there be children at your meeting?*

    1. Yes
    2. No
14. Provide a description of the meeting's purpose:*
16. I have read the meeting room policy and agree to follow the guidelines, including:

    1. My meeting cannot be advertised to the general public or promoted by external groups, organizations, or individuals.
    2. I will not sell, advertise, market, or promote commercial products or services.
    3. I understand that A/V tech support and room set up are not provided.
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field