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). Yes No Contact InfoName:* First Last Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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:* MM slash DD slash YYYY 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. : AM PM 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. : AM PM 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. Yes No Is this meeting open to the general public?* Yes No Provide 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.* Agree Disagree I 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.* Agree Disagree I 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.” Agree Disagree I 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.* Agree Disagree I 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.* Agree Disagree I understand that the library can not provide storage space for my equipment or materials.* Agree Disagree CAPTCHANameThis field is for validation purposes and should be left unchanged.