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Blackstone Public Library

Meeting Room

Reservation Request Form

 

 

Name of Organization_________________________________________

 

Date of requested meeting _____________________________________

 

Meeting Time________________________________________________

 

Contact Name_______________________________________________

 

Mailing Address______________________________________________

 

Telephone__________________________________________________

 

Number expected to attend____________________

 

Equipment requested_________________________________________

 

 

I have read and agree to comply with the policies for the Blackstone Public Library Meeting Room.

 

 

Signature of Applicant__________________________________________

 

Date_______________________

 

 

Please direct any questions to the Library Director

 

 

 

 

1/27/2010

cjm

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