Read the Jacksonville Public Library Meeting Room Policy here before completing this form. Contact the library at 256–435–6332 with questions. Any rental fees or cleaning deposits must be paid in person at Jacksonville Public Library. Check the fee schedule on the Meeting Room page for more information or contact the Library. Form must be filled out completely Organization Name: The organization is: (check only one) City or other Government Agency Non–Profit Group For–Profit Group Your Name: Position with organization: Mailing Address: Phone Number: Email Address: Requested Meeting Date (include day of the week and date): Advertised Meeting Time: Requested Reservation Time (include set up and clean up): From to Estimated attendance: Requested number of long tables: Requested number of chairs: Chairs and tables will be set up in rows facing the front of the room unless you indicate special set up here: Additional equipment requested: (Please check all that apply) Microphone Surround Sound System TV VCR and DVD Player CD Player Podium Screen Projector Library Laptop I will be bringing a personal device to connect to the TV or projector. (Call if you have questions) By submitting this form, I affirm that I have read, understand and agree to the terms of the Meeting Room Policy, including the Waiver of Liability. I understand that my request is not approved until I get a reply from Jacksonville Public Library staff.