Community Room Reservation
	(Please print this form, complete the upper half and bring it to the Library to complete your reservation request.)
Contact Name:_____________________________________________________________________________________
Organization Name:_________________________________________________________________________________
Address:__________________________________________________________________________________________
City:____________________________________________		State: IN       Zip Code:_________________________
Phone:__________________________________________		Email:______________________________________
Event Description:__________________________________________________________________________________
_________________________________________________________________________________________________
Requested event date & time:_________________________________________________________________________
I have read and understand the rules and guidelines associated with use of the Community Room at the
Sheridan Public Library. ___________________________________________________ Date:_____________________
	(Signature)
(Payment - checks payable to SHERIDAN PUBLIC LIBRARY - must accompany this completed reservation form unless other arrangements are made.)
(Refunds  - if applicable - will be made upon request to the bookkeeper and may take up to 3 business days to accomplish.)
	(This portion to be completed by Library personnel only)
Name of employee taking the reservation:
√	Damage Deposit (All groups)	$50.00	Refundable*		$50.00
	For-profit Groups (Usage Fee)	$75.00	Non-refundable - Includes kitchen use
	Other Groups (Usage Fee)	$50.00	Non-refundable - Includes  kitchen use
	Not-for-profit Groups (w/o kitchen use)	N/C	DOES NOT include kitchen use		XXXX
	Not-for-profit Groups (with Kitchen Use)	$10.00	Non-refundable - Includes kitchen use
	Podium & Sound System	N/C			XXXX
	Flip Charts & Cady	N/C			XXXX
	Laptop Computer	$10.00	Refundable*
	Computer Projector	$10.00	Refundable*
	TV/VCR/DVD	N/C			XXXX
	Utility Cart	N/C			XXXX
	Dry Erase/Flip Chart Markers	$1.00	Non-refundable
(*Refundable fees dependent on damages incurred.)			Total Advance Payment Due: