Library patrons (residents of SHUFSD #13) may request the use of a room for a community organization in the district. Meeting Room Request Form Is the group you represent a non-profit organization? Yes No Does 51% of your membership reside in District #13? Yes No Please enter the following information: Your name: Name of group: Mailing address: Address Address 2 City/Town State/Province - None - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ZIP/Postal Code E-mail: Phone number: Possible dates/times: Description of event: Estimated number of attendees: Tables, chairs and other equipment: (A minimum of 48-hours advance notice required to request AV equipment) Type of use: - None - Educational Cultural Community Interest I understand that serving refreshments is permitted in limited circumstances and must be approved in advance. I have read and agree to the library’s Regulations for Use of Library Facilities. Read the full policy here. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.