Fields marked with an asterisk(*) are required.

* Name of Group:

Contact Person Information
* Name:
Email:
* Home Address:  (Street)
 (City, State, Zip)
*Phone:  

Program Information
* Title:
* Brief description
(purpose/content):

Proposed Date and Time of Program

First Choice
* Date:  (mm/dd/yy)
* Time:  (Start)  (End)

Second Choice
Date:  (mm/dd/yy)
Time:  (Start)  (End)

* Room Requested (check one):
 Meeting Room (max. 33 people)
 Large Study Room (max. 10 people)
 Small Study Room (max. 4 people)
 Genealogy Room** (max. 8 people)

You may arrange the furniture in the room, but please return the room to it's original configuration at the end of your meeting.

**The Genealogy Room must remain open to the public for research during meetings.

 
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