Form Center

2. Name of Organization*
3. Type of Organization*

   1. Commercial ($25 fee)
   2. Community (no fee)
   3. Government (no fee)
5. Purpose of meeting*

   Private or social functions are not permitted.

7. Name of Contact Person
9. First Name*
10. Last Name*
12. Email
13. Phone*
15. Name of Co-Applicant

    Optional - backup person in case applicant is not available on the meeting date

17. First Name
18. Last Name
20. Email Adress:
21. Phone
23. When and Where
25. Library Location*
    -- Select One --Blue Ridge Library (Capacity 53)Buchanan Library (Capacity 33)Eagle Rock Library (Capacity 47)Fincastle Library (Capacity 59)
26. Date Needed:*
    Date Needed: Start Date

    Date Needed: Start Time

    —

    Date Needed: End Date

    Date Needed: End Time

    Applications should be submitted 48 hours before the meeting date.

28. Estimated attendance*
30. Library Equipment Needed

    1. TV
    2. LCD Projector
    3. DVD Player
    4. Lectern
32. Additional Information

34. • Completion of an application does not guarantee a room reservation. A reservation is considered confirmed when the applicant receives written confirmation from the Library. There is a $20 per hour charge if a room needs to be cleaned after use. I have read and agree to abide by the meeting room policies of the Botetourt County Libraries.

36. Name*
37. Date*
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field