Meeting Space Request Form

 

The Kingston Library, 55 Franklin Street, Kingston, NY 12401, (845) 339-4260

 

 

Name of Organization:

 

__________________________________________________________

 

Tax Status (exempt, non-profit, other):

 

_________________________________________________

 

Contact Person Telephone(s):

 

________________________________________________________

 

Contact Person Address:

 

___________________________________________________________

 

Meeting space desired:

 

_____________________________________________________________

 

Number expected to attend

 

______________

 

Kitchen facilities required?

 

 

 

yes

 

 

 

no

 

Dates for use of space

 

___________________________

 

Time of meeting:

 

From

 

 _______              

 

to

 

________

 

 

 

Fee or admission charged for program?

 

 

 

yes

 

 

 

no

 

 

 

Will donations be requested to cover the cost of the program? 

 

 

 

yes

 

 

 

no

 

 

 

Will meeting include selling, solicitation, or taking of orders?

 

 

 

yes

 

 

 

no

 

 

 

Special requirements

 

_________________________________________________________________

 

______________________________________________________________________________________

 

Electrical equipment to be used

 

_________________________________________________________

 

 

 

 (Organization is to provide own equipment)
























 

THE ORGANIZATION AND CONTACT PERSON NAMED ABOVE AGREE TO BE RESPONSIBLE FOR ANY DAMAGE TO THE LIBRARY FACILITIES AND/OR  EQUIPMENT

 

                                                                       _________________________________

                                                                        Name

 

                                                                        ________________________________

                                                                        Signature

 

form

FEES FOR USE OF MEETING SPACE

 

For meetings held when the library is closed, or requiring unusual efforts on the part of the staff, a fee of $15.00 or more per occasion may be charged.     FEE TOTAL: _________

 

Acceptance of the above application is contingent upon approval of The Kingston Library Board of Trustees.

 

 

Space Below is for Library Use

 

Booking done on ___________________ by ________________________

 

Payment received___________________________  check number _______________