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BERKELEY HEIGHTS PUBLIC LIBRARY
APPLICATION FOR MEETING ROOM USE
Adopted June 11, 2001
NAME OF ORGANIZATION__________________________________________________
REQUEST FILED BY______________________________________________________
(Must be a Berkeley Heights resident 18 years or older)
POSITION IN ORGANIZATION_____________________________________________
ADDRESS________________________________________________________________
TELEPHONE______________________________________________________________
MEETING DATE(S)______________________EXPECTED ATTENDANCE__________
STARTING TIME________________________COMPLETION TIME________________
PURPOSE OF MEETING__________________________________________________
WILL FOOD BE SERVED?______________IS A-V EQUIPMENT NEEDED?__________
I have read the BHPL Meeting Room Policy and agree to abide by the rules and regulations contained therein.
Users agree to release the Free Public Library of Berkeley Heights, its officers, employees and agents from any and all liability for any and all claims that arise in connection with the use of the Meeting Room including, but not limited to, accidents, injuries or loss or damage to property.
SIGNATURE________________________________________DATE________________
APPROVED______________NOT APPROVED________________DATE____________
REASON NOT APPROVED:
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