Blanchester Public Library - Meeting Room Request Form

Meeting Room Request Form

Date and Time

Date(s) room wanted

Time
from to

Organizational Information

Name of Organization

Person applying

Position in group

Address

Business telephone

Home telephone

E-mail address

President of group (if applicable)

President's Address

President's Telephone

Meeting Information

Meeting purpose/type

Expected attendance (100 person maximum)

Will refreshments be served? (group responsible for clean up)
Yes No

Equipment

Equipment needed
TV/VCR/DVD
Easel
LCD projector
Podium
Overhead projector

Number of tables

Number of chairs

Any special requirements or requests?

By clicking "Submit Request," I affirm that the Meeting Room Policy is understood, will be adhered to, and that the guidelines for use will be conveyed to the membership/attendees.