Space Usage Reservation Form
Please provide the following information and a CNY Philanthropy Center representative will contact you shortly:*

Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Are you a 501(c)(3):
Tax ID Number:
Have you used the Conference Rooms in the past year?

Primary Contact
Name:
Title:
Phone:
Email:

Representative Attending Meeting
Name:
Title:
Phone:
Email:

Meeting Information
Name of Meeting:
Purpose of Meeting:
Date of Meeting:
Beginning Set Up Time:
Start Time:
End Time:
Meeting Room Requested
Number of Attendees Expected:

*Please allow 24-48 hours for a response. For immediate assistance, please call us at 315.422.9538.
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