EventKeeper : EK Form

1	Dauphin County Library System Meeting Room Registration Form	1
1	[CLOSE THIS WINDOW]	1

Annual registration is required for all groups and individuals that would like to reserve DCLS Meeting Rooms. Please complete the following form and click on the Send button below.

To	Christina Lauver
	clauver@dcls.org
Subject	Meeting Room Registration Form

Contact First Name *
Contact Last Name *
Contact Email
Contact Phone*
Library Card # (required) *
Title or Office held with organization
Contact Address (street, city, state and zipcode) *
Name of Organization^
Organization Address (street, city, state and zipcode)
Alternate Phone^
Library location most often used for meeting *
Please check *	I have read and agree to abide by the DCLS Meeting Room Policy
Send me library news via email *	Yes No


Purpose of Meetings^

Thanks for using DCLS Meeting Rooms!

To submit this form, please click on the Send button just once...

This page last updated : 7.8.8.4 - 2013.04.13 7:00 AM
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