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2. Please complete the following information.
4. Contact Last Name*
5. Contact First Name*
7. Organization Name
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Contact Phone Number*
18. Contact Email Address*
20. Date of Request*
    Date of Request
21. Time of Request*
    Time of Request
22. Number of Persons in Group
24. Library Facility Rooms
    Library Community Room occupancy is 75.
25. Library Facility Room
    -- Select One --Library Conference RoomLibrary Community Room
27. Rules for Use of the Library Facility Rooms
    1. No Same Group or Person(s) may use the room more that 3 hours a day or 4 times a month. (unless it is a Town sponsored event.
29. 2. Put the room back in the condition in which you received it.
31. 3. User is responsible for damage and/or missing items.
33. 4. No Food
35. 5. No Parties: eg. birthdays, receptions, retirement, etc. Contact the Senior Center at 636-9114 for those types of uses
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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