Use of Meeting Room by Groups

Please fill out this form completely. Missing information may cause delays in scheduling.
Scheduling requests will not be accepted more than 6 months in advance of scheduled date(s).
Your request is not scheduled until you receive confirmation from the library. This typically will be immediate. However, applications that do not clearly fit within the usage policy will be referred to the Library Director or his or her designee for further consideration. In such cases, no group or organization shall consider a meeting room booked until its Reponsible Party is contacted by the Library Director or his or her designee.

After submitting this form online, you will be contacted via email or phone regarding confirmation of your meeting room reservation, and any payment due.

Today's Date: *

Organization Name: *

Responsible Party: *

Library Card Number:

Street Address: *

City, State, Zip Code:

Phone: * (include day, evening, and/or cell)

Fax:

Email:

Date of Meeting: *

Time of Meeting: *

Expected Attendance: *

Please check the equipment you wish to use: Kitchenette Facility ($10.00 fee, includes any food service, 30 cup Coffee Pot, etc.)
Overhead Projector ($5.00 fee)
DVD Player ($5.00 fee)
Slide Projector ($5.00 fee)
Speaker System ($5.00 fee)
Podium (No fee)
Dry Erase Whiteboard (No fee)

Total Payment Due:$ .00

Signature * I have read, understand, and accept the Meeting Room Use Policy.

Signing the Meeting Room Use Application also consents my agreement that as the signee I am responsible to pay the library all monetary compensation due to damage, additional custodial services, or any other billable reason stated in this policy.

Signed: *

Portage Public Library

253 W. Edgewater St., Portage WI 53901
608-742-4959

Services

Resources

Use of Meeting Room by Groups

Portage Public Library

253 W. Edgewater St., Portage WI 53901 608-742-4959

Services

Resources

Use of Meeting Room by Groups

253 W. Edgewater St., Portage WI 53901
608-742-4959