Meeting Room Rental

2. Does the event take place on a single day or over a date range?

   1. One Day
   2. Multiple Days
4. Event Date
   Event Date Start Date

   —

   Event Date End Date
5. Event Date
   Event Date
7. Hours of Event
   Hours of Event Start Time

   —

   Hours of Event End Time
8. Hours Being Requested Including Setup and Breakdown
   Hours Being Requested Including Setup and Breakdown Start Time

   —

   Hours Being Requested Including Setup and Breakdown End Time
10. Organization/Individual Requesting Use:
12. Mailing Address
14. Street Address Line 1
16. Street Address Line 2
18. City
19. State
20. Zip Code
22. Contact Person
23. Email Address
25. Daytime Phone Number
26. Evening Phone Number
28. Type of Event
30. Purpose of Rental

    The meeting should generally be for an educational, civic, cultural or government pursuit and be open to the general public.

32. Size of Group
33. Note:

    If group exceeds room capacity, the function may be terminated.

35. Room Capacity and Rental Fees

    Meeting Room | 100-250 Capacity
    $25 maintenance fee (includes first hour)
    $15 per each additional hour
    $100 security deposit is required

36. Note:

    Setup, takedown, and cleaning are the responsibility of the renter. Specialized setup will incur additional costs at the hourly rate.

38. Rental Period

    The City of Lilburn meeting room is available during operational hours of the facility. Please check with staff regarding hours of operation.

40. Directions for Submittal

    Your application will be submitted to Business Services to hold reservation up to 10 days. Reservation confirmed upon receipt of payment. If you have any questions, please reach out to bbrower@cityoflilburn.com Please submit rental fee via check or cash at City Hall, or mail check to City of Lilburn, Attn: Meeting Room Rental, 340 Main Street, Lilburn, Georgia 30047.

42. Download and Read the Policies and Procedures
    Policies and Procedures for Reserving City of Lilburn Meeting Room
44. Agreement

    I agree to protect, indemnify, and defend the City, its authorized agents, elected and appointed officials and all employees against any and all claims as a result of persons attending any function at the facility. This provision includes any expenses incurred by the City defending such claim.

    I have read the Policies and Procedures for Reserving City of Lilburn Meeting Room (linked above). I further agree to abide by the Policies and Procedures as well as the ordinances of the City of Lilburn and I accept responsibility for any violations as they may pertain to the application.

    1. I agree with the above statements
46. Signature

    (Type your name to provide digital signature)

47. Date
    Date
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field