Public Meeting Room Application Form

To reserve a room you must fill-out the form below.

For more information call the Administration Department at 610-867-3761 x262 between 10 am and 4:30 pm weekdays.

* indicates required field

Organization:*

Organization Address:

Applicant Name:*

Applicant Address:

Daytime Phone:

Email:*

Purpose of Meeting:*

Date of Meeting:*

Time*

Meeting Length:*

Number of Chairs:*

Number of Tables:*

Theater Style Audience:*

Yes No

Do you need a podium:*

Yes No

Do you need a Screen:*

Yes No

Use of Ceiling Projector (cables provided by applicant)*

Yes No

Public Meeting Room Policies and Procedures*

I have read the Policies and Procedures and agree to abide by them.

CAPTCHA Code:*