Name of Group

Date of Meeting

Time of Meeting

Purpose of Meeting

Your Contact Information:
Please provide name, address, phone and email of the person
who will be responsible for the group while the room is in use.

Approximately how many people will be attending?

by clicking this button I, as a responsible representative of the organization making the application for the meeting room, have read the rules and policies of the meeting room use and do agree to abide by them.