Meeting Room Application

The Library Director or his/her designee will approve this application. If this application is approved, your organization will receive a library card/number that will allow you to reserve the meeting room online, by phone, or in person at the library. If you have provided an email address, you will receive notice of approval via email. Please allow up to one week for notification of approval.

Failure to comply with the policy may cause cancellation of privileges.

Name of Organization:

Group Representative:

First Name

Last Name

E-mail:

Phone (Home/Cell):

Phone (Work):

Address Line 1

Address Line 2

City/Town

State

ZIP Code

Alternate Contact/Representative:

First Name

Last Name

Alternate's Phone Number:

Alternate's Email:

Briefly explain the purpose of your meeting:

I Agree to the Library's Meeting Room Policy.

View the policy and rules of use.

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Lockport Public Library

Meeting Room Application