You are here:  Community RoomRegistration Form   August 22, 2014  

    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:    
           

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