Wilmington Memorial Library


Conference Room Application
________________________________________________________________________________________
Date: _______________________
In the name of: ________________________________________________________
  I am applying for use of the Conference Room of the Wilmington Memorial Library. I have read the "Conference Room Policy" and agree to abide by it. I understand that our meeting will be open to the public and no admission fee will be charged or solicited.
1. We are a nonprofit organization and our purpose is:
        a. civic   b. educational    c. cultural    d. other _______________________________
2. Please explain the nature of your proposed meeting:
  ____________________________________________________________________
3. Date of meeting: _____________    *Time and length of meeting: _________________
4: Probable attendance:__________*must be out of building 15 minutes before closing time, i.e. 8:45(M-Th) or 4:45 (F-S)
5. Do you plan to provide refreshments? _____________________________________
6. Do you wish to use the speaker's rostrum? _____ Movie Screen? ____
7. How many chairs(65 chairs available) do you wish set up?_____________________
How do you want them arranged?________________________________________
8. If you need tables, how do you want them arranged (3 tables available)? ___________________________________________________________
  Conference Room:
 

 

25' x 36'

 

door

Please ask those attending your meeting to park in the Wildwood Street parking lot.
Your cooperation is appreciated.


Signature of Representative: _________________________________________________
Office in Organization: _________________________________________________
Address: _________________________________________________
  _________________________________________________
Telephone: __________________Email:___________________________

For confirmation, please call the library 3-5 days following submission of application. Mail to:
Ms. Gloria Corcoran
Wilmington Memorial Library
175 Middlesex Avenue
Wilmington, MA 01887
978-658-2967

 
__________________________________________________________________________________

OFFICE USE ONLY
Approved__________________     Disapproved _______________        Copy to Custodian