3rd Floor Conference Room Request Form

Please fill in the form completely before submitting.

This is a request only and not a guarantee for use of the room.
Confirmation will be made via the email provided on the form

Conference Room Request Use Form

Groups are to be a non-profit or 501-c3 designation. Rooms are not available for the benefit of private individuals (including but not limited to parties, private functions, play dates, etc.) or commercial enterprises. No product sales may occur nor fees charged to attendees/participants.
This room is located on the 3rd level, Flag Balcony, and comes preset with 8 chairs around a conference table, includes a white board on one wall and TV monitor on the opposite wall with cable hookups for PC/computer devices.
No food is allowed. Non-alcoholic beverages in covered containers, such as travel mugs or water bottles, are allowed.

Date*
MM slash DD slash YYYY
Group/Organization requesting use of the room:*
Please note: contact person or designated contact person of the group/organization must be present at the meeting.
Contact Name:*
First Last
Email of contact person:*
Phone No. of Contact*
Address*
Please enter the formal mailing address of the group. If there is none, then the mailing address of the contact person is required.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date(s) Requested:*
You may request up to 4 dates in any one fiscal year (7/1-6/30). To add more than one date, click on the '+'.
(Please enter the day of week and date: Tues 6/4/19)
Access room at:*

: Hours

Minutes

AM/PM
Leave room at:*

: Hours

Minutes

AM/PM
Purpose of Meeting:*
Consent*
I have read and agree to the terms for using the Conference Room as described in the Bedford Free public Library Meeting Room Policy on our website.