Topsfield Town Library Meeting Room Reservation
1 South Common Street Topsfield, MA 01983
978-887-1528 FAX: 978-887-0185
Requested Date for using Meeting Room: ___________________________________________
Starting Time: ________________________ Ending Time: ____________________________
Name of Organization: _______________________________________________________________
Person responsible for program: ______________________________________________________
Address: ______________________________________________________________________
Telephone: ___________________________ Fax: ___________________________________
Email: ________________________________________________________________________
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_____________________