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

Organization/Group/Business Name:

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* 1. Organization/Group/Business Name:

Contact Name:

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* 2. Contact Name:

Contact email address:

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* 3. Contact email address:

Mailing Address:

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* 4. Mailing Address:

Telephone:

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* 5. Telephone:

Fax Number:

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* 6. Fax Number:

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

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* 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
Number of Participants:

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* 9. Number of Participants:

Purpose and Details of Function (meeting, reception):

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

Please check room requested:

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* 11. Please check room requested:

T