EmailMeForm
Date of Event
MM
/
DD
/
YYYY
Setup Start Time
HH
:
MM
AM
PM
AM/PM
Setup End Time
HH
:
MM
AM
PM
AM/PM
Actual Event Start Time
HH
:
MM
AM
PM
AM/PM
Actual Event End Time
HH
:
MM
AM
PM
AM/PM
Approximate number of attendees
Available Facilities (select one)
Meeting Room A.1 The occupancy limit is 35 people seated with tables and chairs or 45 seated in chairs only.
Meeting Room A.2 – The occupancy limit is 35 people seated with tables and chairs or 45 seated in chairs only.
Meeting Room B – The occupancy limit is 50 people.
Do you need to use the projector?
Yes
No
Please read and check ALL of the points below
I understand how to use the technology in the room.
I understand there is no one on staff to assist with the technology.
I understand I am responsible for the condition of the room.
I understand that all tables and chairs have to be put away and that everybody needs to leave the room 15 minutes prior to closing time.
I received and read a copy of the Use of the Meeting Room Guidelines.
Purpose of use
Name of organization
Name of person responsible
Address
Email
Phone
###
-
###
-
####
Is your organization for-profit, or non-profit?
For Profit
Non-Profit
By submitting this form, the applicant acknowledges that he/she has read the Use of the Meeting Room
Guidelines and agrees on behalf of the above named organization to conform to all rules, regulations, andresponsibilities as referred to in the Guidelines.