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Matteson Public Library
>
Services
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Meeting Room
> Meeting Room Application
Meeting Room Application
MPL Meeting Room Reservation And Use Agreement
Date
*
MM
DD
YYYY
Name of Organization
*
Type of Group (please check one)
*
Government Agencies serving Matteson
Matteson located Non-profit Community Organization
Friends of the Matteson Library
Matteson Business ($50.00 per day)
Applicant's Name
*
Must be 18 or older and be present at the entire meeting)
Applicant's Matteson Public Library Card #
*
Applicant's Email
*
Enter Email
Confirm Email
Applicant's Phone Number: Home - Work - Cell
*
Please provide a phone number that you can most readeily be reached.
Applicant's Address
*
Street Address
City
Zip Code
Alternate's Name
Alternate's Library Card #
Alternate's Address
Street Address
City
Zip Code
A single group may book up to 12 meetings per calendar year. Meeting rooms may be reserved up to 3 months in advance, but no less that two weeks in advance. See the Meeting Room Policy for more details. Meetings may be scheduled during the following times: Tuesday through Thursday 12:30 a.m. - 8:30 p.m. Friday 10:30 a.m. - 4:40 p.m. June/July No meetings Include set up and clean up time when reserving the room. The meeting room must be vacated at least 1/2 hour before closing, no exceptions.
Date and Day Requested
*
Please enter the date and day you would like to use the meeting room.
Start Time
*
:
HH
MM
AM
PM
End Time
*
:
HH
MM
AM
PM
Alternate Date(s) and Day
Alternate Start Time
:
HH
MM
AM
PM
Alternate End Time
:
HH
MM
AM
PM
The meeting room will be used for the following purpose:
*
Fees
*
Business $50.00 per day
Use of library A/V equipment $25.00 per day
Total Fees
List of A/V Equipment
All fees must be received no later than two (2) weeks befroe the date of the program or meeting.
Consent
*
I herby acknowledge that I have read and I agree to abide by the Matteson Public Library’s Meeting Room Policy and Rules and Regulations. Furthermore, I understand that failure to comply with Meeting Room Policy and Rules and Regulations may result in a loss of meeting room privileges.
I, and the agency, group, organization, or business I represent, will ensure compliance with the code restrictions relating to meeting room occupancy limits and with fire and safety regulations.
I, individually and on behalf of the agency, group, organization or business I represent, must indemnify and hold harmless the Matteson Public Library, its Board of Library Trustees, all library staff, and the Village of Matteson for any and all accidents, should any be incurred arising from or during the course of our use of the room, pursuant to this application.
I will be present throughout the scheduled meeting.
I will include the statement “The Matteson Public Library is not a sponsor of the organization and its programs” on all publicity. All publicity must be approved by the Library Director prior to the event.
I will not use the library’s address and/or phone number as my organization’s contact point.
Date
*
MM
DD
YYYY
Representatives' Signature
*
TO REQUEST A MEETING ROOM, THIS COMPLETED FORM MUST BE SUBMITTED. RESERVATIONS ARE NOT FINAL UNTIL CONFIRMED BY SIGNATURE OF AUTHORIZED LIBRARY PERSONNEL.
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