REQUEST FOR USE OF 
THE WEBSTER PUBLIC LIBRARY COMMUNITY ROOM
BY NON-LIBRARY GROUP
Requests for a meeting room can be made remotely by accessing the online reservation system at www.websterlibrary.org.  If an individual or group is unable to apply online, a paper application can be submitted in person, by mail, or by fax (585-872-7073) to the Webster Public Library, Attn. Meeting Room Coordinator.

If the application is approved, the requested date will be entered on the online reservation system and regarded as confirmed.  A notice of confirmation will be mailed or emailed to the responsible member of the organization.

PLEASE PRINT                      Date of Request                                            

Dates and times desired                                                                                               

Alternate dates and times                                                                                                 

Full name of group requesting room  (Please be specific.  Include name of parent organization and, if applicable, name of committee, department, team, troop number, etc.)
                                                                                                                                            

Check all appropriate categories:

     Webster organization _____             Charitable _____
     Cultural _____                                     Civic _____


Purpose of meeting                                                                                                   

Person responsible:  Name                                                                                             

Address                                                                                           Zip                            

Telephone number                                     No. of people expected (estimate)           

 

Will meeting be open to the public?     Yes        No                   (If yes, please be sure to refer to Community Room Use Policy regarding publicity for your event.)

 

Please place a check next to any of the following items of equipment that are needed by your group.

_____ overhead projector            _____ TV/VCR/DVD unit

_____ audiovisual cart                  _____ 30-cup coffee pot (no beverage supplies         
                                                                      furnished)
_____ 35mm slide projector

_____ projection screen    

I understand and agree to the rules regarding the library meeting room.  

Signed                                                                   Title                                                     

====================================================================

FOR STAFF USE ONLY

Reservation Confirmed                            
Mtg. Room A _____  Mtg.  Room B _____Whole Room _____

 

Staff Member                                                                               Date                            

 

Webster Public Library
 Webster Plaza, 980 Ridge Road, Webster, New York 14580 USA
Telephone: 585-872-7075    Web site: www.websterlibrary.org
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