Date of Meeting
Start time (including setup)
Date of Application
Organization address, city, state and ZIP
Representative address, city, state, and ZIP
Organization's profit status
Will refreshments be served?
Lectern Easel TV DVD Player Screen
Purpose of Meeting
By filling out and submitting this Meeting Room Use and Acceptance of Responsibility form, you are agreeing with and will adhere to all of the Meeting Room Policies and Guidelines.