Topsfield Town Library Meeting Room Reservation
1 South Common Street Topsfield, MA 01983
978-887-1528 FAX: 978-887-0185
mto@mvlc.org
Date of Application:
Name of Organization:
________________________________________________________________
Person responsible for program:
________________________________________________________
Address:
_____________________________________________________________________________
Telephone/ Cell
Phone:________________________________________________________________
Email:
_______________________________________________________________________________
Meeting Date Requested:__________________________Alternative Date:_____________________
Starting Time: _________________
Ending Time:_________________, time for set-up_________
Title, Subject and Purpose of Meeting:
__________________________________________________
_____________________________________________________________________________________
______________________________________________ Estimated Attendance:
__________________
Equipment Needed:
____________________________________________________________________
______________________________________________________________________________________
How does this group serve the Topsfield
area?____________________________________________
______________________________________________________________________________________
I have read the Topsfield Town
Library Meeting Room Policies and Procedures and I agree to abide
by them. I understand I am
responsible for the proper care of the room.
Signature___________________________________________
Date______________________
Office Use Only
Approval
Signature__________________________________Date_____________________