Date (e.g. 05/03/2009)

Time Start (e.g. 10:00) A.M. P.M.   Time End A.M. P.M.

Event (e.g. Community Programs Committee)

Room to reserve Select Room Room 117 - Small - 10 to 15 people Room A-200 - Small 10 to 15 people County Board Room - 12 to 40 Room 118 - Large - 15 to 40 people Room 218 - Large 15 to 40 Auditorium - Largest - 50 to 100 people

Contact (Your name) Phone (e.g. ext 8555)

Other Information (e.g. multiple dates, special needs)