Meeting Room Request Form

State Library Division / Division of Services for the Blind and Visually Impaired - Room Reservation Application

All rooms subject to availability - You will receive an email confirmation if your application is accepted.

Please note: beginning 09/06/2011, business hours will return to 8 AM to 5 PM, Monday through Friday. Any prior meeting scheduled beyond our business hours will need to be revised or coordinated through MaryEllen Martinez at mjmartinez@utah.gov.

Please bring your own technology if your meeting requires

Location: 250 N. 1950 W. Salt Lake City UT 84116 / Map

Meeting Date(s)

Date (or range of dates) mm/dd/yy - mm/dd/yy
Time Meeting Begins
Time Meeting Ends
Set Up Time Needed	minutes
Take Down Time	minutes

Group Type

(Category B): Department of Community and Economic Development and Utah State Office of Education Officially Sponsored Events (72 hours advance notice required)

(Category C): Other government entities (Advance Notice: minimum - 4 weeks; maximum 3 months)

General Information

Agency & Dept.
Title of Meeting
Approximate Number Attending
Person Completing Reservation Application
Email
Phone
Fax
Designated Representative
Representatives Email
Representatives Phone
The designated representative agrees to be in attendance at the entire meeting and is responsible for room setup and returning the room to the original condition.

Equipment Request

TV VCR Overhead Projector Assistive Listening Device (Comtek)

Room Selection and Information Profile

Room 218 Availability: All Categories Maximum Occupancy: 30 Facilities: tables, chairs, pull-down screen, white boards, 1 data port View Room	Room 219 Availability: All Categories Maximum Occupancy: 30 Facilities: tables, chairs, pull-down screen, white boards, 1 data port View Room
Room 218 & 219 Availability: All Categories Maximum Occupancy: 80 Facilities: tables, chairs, pull-down screen, white boards, 2 data ports To view, see rooms 218 and 219	Room 217 Availability: All Categories Maximum Occupancy: 10 Facilities: white boards, screen View Room
Multi-Purpose Room Availability: All Categories Maximum Occupancy: 100 Facilities: tables, chairs, screen, 1 data port View Room

Other Comments:

Assistive Listening Devices: contact Scot Wells at (801) 323-4343 or swells@utah.gov

All Rooms are Subject to Availability - You will receive an email confirmation if your application is accepted.

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Utah State Library