George  B.  Gordon  Room  Reservation  Form

PEABODY INSTITUTE LIBRARY OF DANVERS
15 SYLVAN STREET
DANVERS, MA 01923
TEL: (978)774-0554        FAX: (978)762-0251

PLEASE CLICK HERE TO READ GUIDELINES FOR USING THE GORDON ROOM

MEETING DATE	MEETING TIME	NAME OF ORGANIZATION
PERSON RESPONSIBLE		ADDRESS

WORK TELEPHONE	HOME TELEPHONE	EMAIL ADDRESS	NUMBER ATTENDING
PURPOSE OF MEETING

LIBRARY CAN PROVIDE (PLEASE CHECK ALL THAT APPLY)          Coffee Maker          Refrigerator          Stove          Overhead Projector/Screen          VCR Monitor

PLEASE DESCRIBE DESIRED SEATING ARRANGEMENT IN TEXT BOX BELOW