When is room needed:

DAY:*  Choose Sunday Monday Tuesday Wednesday Thursday Friday Saturday     Date:*     
 Time of Program* (i.e.: 2:00PM - 4:00PM)    Time needed for set-up*
                                                                                             Time needed for clean-up*


Room / space being booked *    Choose a Library Room Main Library - Full Auditorium - (capacity 175) Main Library - 3/4 Auditorium - (Capacity 100 - 130) Main Library - Chess Room - (capacity 40 max.) Main Library - Conference Room - (capacity 12 - 20 max.) Main Library - Children Activity Room - (Children's programs only) Main Library - Lower Level Main Library - Computer Lab - Staff Only South Norwalk Branch Library - Community Room (Capacity 120 max.)

                                                
Title of Event * (or purpose of meeting or main speaker’s name): 

Name of Sponsoring Organization:*  

Organization is:* Choose For Profit Non-Profit

Organization REPRESENTATIVE NAME:*

Title               PHONE*       FAX    

Organization Website URL:

E-mail, if avail:

Mailing address: Street*   City:*   State:*
 

Charging admission?* Choose Yes No If yes, how much? 

Selling products or services or soliciting customers?* Choose Yes No

If Yes, what?

Private booking/purpose?* 
 

Room rental fee:  Full amount due in advance:   Choose One $350 - Full Auditorium with stage (175 capacity) $300 Full Auditorium without stage (175 capacity) $250 - 3/4 Auditorium (100-130 capacity) $150 - Chess Room (1/4 Auditorium - capacity 40 max.) $150 - Conference Room (12 - 20 max. capacity) $150 - Children's Activity Room (Children's programs only)

Expected attendance:*  

Room arrangement: 

Number of chairs / arranged how?:*  

Number of tables / arranged how?:*  

Refreshments ?* Choose Yes No             If yes, describe.

Need refreshment tables?*   Choose Yes No
We have 2 of each type of coffee pots.

 Mr. Coffee machine   None One Two or  30-40 cup urns  None One Two

Other equipment needed?  

Library can provide: (Check all that apply) 

Slide projector
Video projector (projects onto screen)
Screen
Easel with paper 
Reversible chalk/marker board - 4’x6’
Reversible marker/bulletin board - 3’ x 4’
VCR/TV on cart
Overhead projector
Microphone
Podium
Stage
Laptop computer (by special arrangement)
Computer projector (by special arrangement) 

Date of application:* 

I agree to the Norwalk Public Library’s Meeting Room Policies and agree
 to pay room rental fees, if applicable, as well as charges for
damages, if any, and overtime charges as agreed upon in advance. 

  Choose I Agree