Application For Meeting Room Rental MEETING ROOM APPLICATION Would you like to rent our meeting room? Please complete the form below to request a time / date. Group Name:*Is your group a Non-Profit Organization?*Organizations who are Not-For-Profit must provide proof of §501 (c) 3 or §170 (c) (1). YesNoContact InfoName:* First Last Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*FaxEmail* Enter Email Confirm Email Room Needs and Attendance Information:Please include time to setup and clean up with your start and end times. Requested Rental Date:* Meeting Start Time:INCLUDE SET UP TIME. Special permission and additional fees are required for meetings starting before 9:00 a.m. Monday through Saturday and 1:00 p.m. on Sundays. : HH MM AM PM Meeting End Time:*INCLUDE CLEAN UP TIME. Special permission and additional fees are required for meetings ending after 9:00 p.m. Monday through Thursday and after 5:00 p.m. Friday through Sundays. : HH MM AM PM Estimated Number of Attendees:*Your meeting room will be determined based on number of attendees and space availability.Will you need to use the LCD projector?*There is a $15.00 fee for use of the projector.YesNoIs this meeting open to the general public?*YesNoProvide a brief description of the nature of your meeting or program and any special needs that should be taken into consideration.*Policy AgreementPlease indicate your agreement with each statement below.By providing my name and completing this application, I accept responsibility for the group’s use of the Sycamore Public Library meeting rooms and will adhere to the Meeting Room Policy and the Patrons Rights and Responsibilities Policy.*AgreeDisagreeI understand that there is a fee use the meeting room rental and am willing to pay for the use of the Sycamore Public Library meeting rooms. Payment is due prior to the meeting.*AgreeDisagreeI will include the following statement on all publicity created for this meeting or program.*“This program is neither sponsored nor endorsed by the Sycamore Public Library. The library is not responsible for the information presented in this program.” AgreeDisagreeI understand that the group is responsible for setting up the room and cleaning the room after the meeting. This includes taking garbage out to the dumpster.*AgreeDisagreeI will notify meeting attendees that they should park in the County lots to the north and east of the library when coming to a meeting.*AgreeDisagreeI understand that the library can not provide storage space for my equipment or materials.*AgreeDisagreeCAPTCHANameThis field is for validation purposes and should be left unchanged.