BEVERLY PUBLIC LIBRARY
32 Essex Street
Beverly, MA 01915
(978) 921-6062
FAX (978) 922-8329
Contact: Anna Langstaff, Assistant Director

RESERVATION FORM FOR MEETING ROOMS

Please fill out this form and click the Submit button below. If you prefer, you may print the form and then mail or fax it to the library.

Date of application
Name of organization
Person responsible for program
Address
City State MA AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip
Primary Phone Number (Extension)
Secondary Phone Number (Extension)
Fax number
E-mail address
Meeting date(s)
Starting time Ending time
Estimated attendance

Title, subject and purpose of meeting

Will there be any charge, fee donation, items for sale or other expense for attendance or for participation?YesNo
If yes, explain

Equipment needs

The Beverly Public Library is a busy public service agency with limited parking. If possible, encourage your members to carpool or park on streets adjacent to the library.

The Beverly Public Library does not charge for the use of its meeting rooms. However, we encourage for profit organizations to make a donation to the Friends of the Beverly Public Library.

I have read the Beverly Public Library Meeting Rooms Policies and Procedures and agree to abide by them.
Yes

(If you plan to print this form and then mail or fax it to the library, please sign and date it here.)
Signature Date

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Beverly Public Library, 32 Essex Street, Beverly, MA
978-921-6062