Meeting Room Request

Please use the form below to request a meeting room at the Pittsylvania County Public Library. Meeting rooms are for the use of nonprofit, public gatherings of a civic, cultural, or educational nature.

Name of group organization *Please enter the name of the individual, group, or organization requesting the room

Name *Please enter the name of the person making the request

Street Address *

City *

State *

ZIP Code *

Email Address *

Phone *

Meeting date *

Please select the date requested

Additional dates requestedPlease enter any additional dates you are requesting

Meeting time and length *Please enter the time of day and length of the meeting

Expected attendance *

Purpose of meeting *

Will there be any charges levied for materials provided or used during the meeting? *YesNo

If yes, please list materials here:

Request date *

Please select today's date