Application For The Use Of A Public Meeting Room printable pdf download

MONTGOMERY COUNTY-NORRISTOWN PUBLIC LIBRARY

APPLICATION FOR THE USE OF A PUBLIC MEETING ROOM

DATE OF MEETING: _____/_____/_____

TIME OF MEETING: starting________ ending_______

ROOM RESERVED: ( ) Community Room ( ) Board Room ( ) Children’s Learning Center ( ) Computer Lab

The Library makes its meeting rooms available to the community on a “first-come, first-served basis.” This Application does not guarantee that

arrangements requested are available. Please contact the Administration Office of the library at (610) 278-5100 ext.140, Monday through Friday, 9 a.m.

through 5 p.m. to determine whether date, time and room are available.

Capacity of the library’s Community Room is 125 people. The Boardroom is limited to 25 people seated around a conference table, with limited seating along

the walls of the room. THE TABLE IN THE BOARDROOM CANNOT BE MOVED UNDER ANY CIRCUMSTANCES. The Children’s Learning

Center holds 25 people, and the Computer Lab capacity is limited to 16 people.

A non-refundable charge of $25 per reservation will be made for all groups using public meeting rooms when tax-exempt status has been documented.

Similarly, groups not tax-exempt shall be charged $75. A “kitchen privilege” fee of $35 per meeting will be charged to any group requesting use of the

kitchen. An additional charge of $35 will be made should any group fail to clean the reserved room at meeting’s end. Any of the above fees are waived for

Friends of Montgomery District Library Center.

Once reservation is confirmed, complete this form and bring, (e)mail, or fax it to: Administration Office, Attn: Lynn Keily, Montgomery County-

Norristown Public Library, 1001 Powell Street, Norristown, PA 19401-3817, PHONE (610) 278-5100 ext.140; FAX: (610) 277-0344; EMAIL

. Please call with any questions about your arrangements.

PLEASE READ AND SIGN: I have read the “Rules for Use” regarding use of the Montgomery County-Norristown Public Library

public meeting rooms, and agree to comply with those rules. I also understand that signing this “Application” form indicates I agree to

be present during the function for which a reservation is requested, and to accept responsibility for the behavior of those who attend. In

addition, the party(ies) using the library’s public rooms shall hold the library harmless from any liability of any type arising out of use

of a public room.

Signature:__________________________________________________

email address:__________________________________

Home/Cell Telephone:______________________**

Please print name & title:____________________________________________ Daytime Telephone:_____________________

Name of Organization:____________________________________________________________ FAX: _______________________

Mailing Address:_____________________________________ City:_________________________ State:_____ Zip:________

Type of organization (please check one):

( )Tax-exempt (must provide IRS 501c3 documentation. Please refer to the Reservation Policy)

( ) For-profit

Description of meeting:___________________________________

Additional set-up instructions:

________________________________________________

Number of persons expected to attend:______________

Community Room set up preference:

( ) auditorium style (chairs only)

( ) classroom style (tables & chairs)

If Board Room is reserved, please note that the large table

CANNOT be moved under any circumstances.

Will food be served during your program? ( ) yes ( ) no

Will you require use of kitchen? ( ) yes

( ) no

The library charges a $35 fee for kitchen privileges. Please be aware that kitchen use is limited to use of the countertops, running water, and the sink.

**In the event the library will not open (extreme weather, etc.), or the regular schedule of public hours must be amended (i.e., open late

or close early) this telephone number will ensure our ability to notify your contact person.

This Application Form amended 3-18-13 by MC-NPL Board of Directors