TRACY MEMORIAL
LIBRARY
Today's Date
304 Main Street New London, NH 03257
http://www.tracylibrary.org/
Tel
(603)
526-4656 Fax (603) 526-8035
MEETING ROOM APPLICATION
Name of
group:________________________________________________________________
Type of group (circle):
Civic * Educational * Religious * Other:__________________
Purpose/nature of
meeting:_______________________________________________________
Day
of meeting (circle):
Tues. * Wed. * Thurs. * Fri. * Sat.
Date(s) of meeting, up to four
months in advance:___________
Starting time of meeting,
including setup: __________
Ending time of meeting, including
cleanup (restoring room to
order): _________
Anticipated
attendance (capacity is 75 seated, 100 standing):_____________
Will refreshments be served?
(circle): Yes * No
If yes, group is responsible
for cleaning up and removing trash,
supplies, equipment
Will the event be advertised?
(circle): Yes * No
If yes, groups must state
their sponsorship in the ad and not imply
Library sponsorship
Please circle Library-owned A/V
equipment you wish to use:
*
Screen * LCD projector
* VCR/DVD combo*
User must be trained in
proper operation & must sign Assumption of
Responsibility Form
Please
sign below confirming that you have read and agree to
comply with the
Tracy Memorial Library
Community Meeting Room Guidelines
Name of applicant:__________________________
Signature:___________________________
Address:______________________________________________________________________
Telephone:________________________________ TML
card number:____________________