| Date: _________________ |
Branch: ________________________________
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| Name of Organization |
________________________________________________________
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| Type of Group: |
___ Library Sponsored |
___ City-Job Order ________ |
___ Not For Profit |
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___ Fee (Event, Private, Church, Commercial, Fund-raising) |
| Date |
Time From |
No. Attending |
Room |
Purpose Program (in Detail) |
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The policy governing the use of the Meeting Room has been read, understood, and will be followed. I understand that failure to notify the Branch Manager in writing of cancellation at least two weeks prior to an event will result in forfeiture of deposit and fees and/or future right of use. I relieve the City of San Diego of liability attendant on this use.
| Applicant |
____________________________________ |
Home Phone _________________ |
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(Name and Title) |
| Address/M.S. |
________________________________ |
Fax Number _________________ |
| Work Phone |
_________________ |
_______________________________________ |
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City/State/Zip Code |
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BRANCH RECEIPT FOR USE OF MEETING ROOMS
| Date Use Fees Paid _____________________ |
Amount ________ Check No. _________ |
| Date Damage/Cleaning Deposit Paid ________ |
Amount ________ Check No. _________ |
| Received by __________________ |
Date Staff assigned ________ Name _________ |
Comments
___________________________________________________________________________
PATRON RECEIPT FOR USE OF BRANCH LIBRARY MEETING ROOMS
| Date Use Fees Paid ________ |
Amount _______ |
Check No. _______ Received by _______ |
| Date Deposit Paid _________ |
Amount _______ |
Check No. _______ Received by _______ |
| Scheduled Date & Time of Meeting __________ |
Room _______ |
Name _______ |
Comments
___________________________________________________________________________
From Department Instruction 21-15 APPENDIX A
Effective January 1999
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