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Plumb Memorial Library Reservation
 

Date of Meeting:

Time of Meeting: until

Name of organization:

Address:

Phone number:

Authorized representative:

Number of chairs (up to 100): 

Number of tables:  6' tables    8' tables

Please indicate desired arrangement:

Chairs only, auditorium style

Chairs, auditorium style with table at head of room

Classroom style (tables arranged in front of chairs)

Boardroom style (tables in a square with chairs)

Please indicate equipment you will need:

Overhead Projector

Slide Projector

Video Projector

Will you be serving refreshments?  Yes  No

Will you be using the kitchenette?  Yes  No

The library closes at 8:30 p.m. Monday-Thursday and 4:30 p.m. on Friday and Saturday.  Will you be using the room after these hours? Yes  No

Basic fee for room: $5.00

After closing fee: $5.00

Kitchenette fee: $5.00

Additional notes:

Please mail total amount due to Plumb Memorial Library, 65 Wooster Street, Shelton, CT 06484, Attn: Assistant Library Director.

By submitting this form, the authorized representative agrees to abide by the library's meeting room policy and regulations.  Application requires approval of library administration. You will be contacted for confirmation.