APPENDIX F

Meeting Room Form

 

 

Whitman County Library System

Meeting Room Application for Use                              

 

Meeting room hours:             Monday – Wednesday           10 AM – 8 PM

                                                            Thursday - Friday                  10 AM – 6 PM

                                                            Saturday - Sunday                    1 PM – 5 PM

 

Today’s date: _________________

 

Meeting date(s): ___________________________ Time(s): _______________________

 

Organization: ____________________________________________________________

 

Person responsible: ______________________________ Phone: ___________________

 

Address: ________________________________ City/State/Zip: ___________________

 

 

 

Addition use fees:

(Payment for use is required at the time of sign-up)

 

_____  Kitchen use – any access, water, coffee pot, cooking, etc.         $3.00

_____  VCR/TV – setup/maintenance fee                                             $3.00

_____  Overhead projector – setup/maintenance fee                             $3.00

_____  Satellite down-link – setup/maintenance fee                               $3.00

(currently available Monday – Friday 10-5)                                                 

_____  Satellite down-link program cost                                            $______

                       

 

                                                                                                total paid:         _____

                                                                                                staff initials:       _____

 

AGREEMENT: The Whitman County Library offers use of the basement meeting room to the public under the rules as set forth in the Whitman County Library System policy. (IX. Meeting Room Rules, pg. 15) These rules are also posted outside the meeting room. The undersigned hereby agrees to full responsibility under these rules and agrees to leave the room in the same condition it was found. In the event of damage or a need for cleaning, this person agrees to pay the resulting charges.

 

 

Signature: _______________________________________ Date: __________________IX.  PUBLIC