Town Home
95 Cedar Street - Newington, CT 06111-2603 - Phone: (860) 665-8700
Print Page

 Request a Meeting Room Online

 
Contact Information
* Date Submitted: enter as: xx/xx/xxxx
* First Name:
Middle Initial:
* Last Name:
* Street Address:
* City/Town:
* State:
* Zip Code:
* Home Phone Number:
Work Phone Number:
Cell Phone Number:
* Email:
 
Meeting Information
* Date Room Needed: enter as: xx/xx/xxxx
* Name of Organization:
Purpose of Organization:
* Program or Subject of Meeting:
* Anticipated Attendance: People
* Room Desired:



* Hours Room Will Be Needed: From: To:
enter as XX:XX AM or PM
* Time Meeting or Program Will Begin: enter as XX:XX AM or PM
* Equipment Needed: Slide Projector
TV/DVD/VCR
Flip Chart
Screen
None
* Do You Want a List of Related Library Materials Available at The Meeting?:



* Room Set-Up Needed:


* Will The Meeting Be Open to the General Public?:



* Will Refreshments Be Served?:



If You Selected Yes to Refreshements, What Type Will You Be Serving?:
Additional Comments:
* Submission of this application signifies that I have read and agree to abide by the regulations listed on the meeting room policy statement.
* Required fields: Please be aware that this form must be complete in order for library staff to process your request for a meeting room.