Please review our Policies and Procedures before filling out this form. For questions or concerns regarding room rentals, contact Flora DuBose at the South Carolina State Library.

Telephone: (803) 734-8126; Email: fdubose@statelibrary.sc.gov

* 1. Organization/Group/Business Name:

* 2. Contact Name:

* 3. Contact email address:

* 4. Mailing Address:

* 5. Telephone:

* 6. Fax Number:

* 8. Requested Date (PLEASE NOTE: WE WILL CHECK ROOM AVAILABILITY AND CONTACT YOU TO VERIFY DATE — THE ROOM YOU REQUEST MAY ALREADY BE BOOKED.)

Date
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* 9. Number of Participants:

* 10. Purpose and Details of Function (meeting, reception):

* 11. Please check room requested:

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