for Use of the Meeting Rooms
of Application ______________ Room
Date of Meeting(s)__________________ Time of Meeting(s)______________
Insured by__________________________ Agent/Company
Name of Individual Representing Organization_________________________
Telephone: (home)____________________ (work)___________________
I understand that my organization will be responsible for any damage incurred;
that the guidelines for meeting room use must be adhered to; and that
continued use of the meeting rooms depends upon our ability to follow
these guidelines. I have received a copy of the guidelines and have read
it before completing this application.
this application and return it to the Library Secretary, Cora J. Belden
Library, 33 Church Street, Rocky Hill, CT 06067. It must be signed and
returned to the library before the room is used.
Approved by the
Library Board of Directors 3/9/98; Amended 8/21/06