Meeting Room Use Request Date of Meeting(Required) MM slash DD slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM End Time(Required) Hours : Minutes AM PM AM/PM Location Requested(Required) Copenhaver Meeting Room Miller Law Office Telehealth Meeting Room Name of Group(Required)Attendance Expected(Required)Equipment NeededContact Person's Name(Required) First Last Contact Person's Phone Number(Required)Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) An LCD projector, DVD player, TV, dry erase board, microphone and podium are always in the Copenhaver Meeting Room. If you require other equipment like a laptop computer, you will need to make arrangements with the library in advance of the date of your meeting. No equipment will be provided for use in the Miller Law Office.Consent I agree to the meeting room policy.I am an authorized representative of the organization named above. I have read and agree to comply with the regulations of the SCPL meeting room policy. I understand that in the event of any damage to the library facility caused by group’s use, my group will be solely responsible for the payment of any damages. Also, I understand I am responsible for making certain that everyone attending the meeting complies with any library policy and that everyone is out of the meeting room 15 minutes prior to the library’s closing time, all materials brought to the meeting room have been removed, the lights and all equipment have been turned off, and the door has been locked by a staff member who has been notified that group is leaving the facility. I agree that no fees may be charged, and no products may be sold. For more information call the Marion location at 276-783-2323 ex. 235. Δ
