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2. Name of Organization
4. Name of Authorized Representative*
6. Email Address
7. Phone Number*
9. Proposed Date of Meeting*
   Proposed Date of Meeting Start Date

   Proposed Date of Meeting Start Time

   —

   Proposed Date of Meeting End Date

   Proposed Date of Meeting End Time
11. Purpose of Meeting*
13. Estimated Number of Attendees*
15. Library Meeting Room Policy
    HEML Meeting Room Policy
17. I have read and understand the Library Meeting Room Policy*

    1. I agree
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field