Community Room Request Form - Mississippi Market Co-op

Contact Name*

First Last

Organization Name (if applicable)

Organization Type*

If personal use selected, please provide details

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Preferred Rental Date & Time*

This date must be at least two weeks in the future for consideration. Classrooms are available depending on availability, store needs, and staffing.

Preferred Store*

Additional Comments

Number of people attending*

Each room can hold up to 25 people

Will you be placing a catering order?*

You can purchase food the day of your reservation from our deli or call to place a catering order at least 2 days in advance.

Yes
No
Maybe

Will you be utilizing the smart TV screen to show a presentation?*

If so, please note that there is not tech support on site.

Yes
No
Maybe

I understand that part of the rental agreement is not to bring in outside food.*

Groups are welcome to utilize the store or order catering.

I understand

To qualify for the Community Room Rental, nonprofits and community groups must agree to follow guidelines as outlined in the community room user agreement*

(1) Be non-discriminatory based on any legally recognized category, including race, creed, gender, national origin, age, sexual orientation, or physical disability (2) Our classroom may not be used to advance a particular religious belief (3) Our classroom may not be used to sell or promote a particular product or service, for classes or other for-profit use (4) Our classroom may not be used for a political group in support of individual candidates for political office

I understand

Phone

This field is for validation purposes and should be left unchanged.