SAN DIEGO PUBLIC LIBRARY
APPLICATION FOR USE OF MEETING ROOMS
 
Date: _________________ Branch: ________________________________
Name of Organization ________________________________________________________
Type of Group: ___ Library Sponsored    ___ City-Job Order ________   ___ Not For Profit
___ Fee (Event, Private, Church, Commercial, Fund-raising)

Date Start Time End Time No. Attending Room Program Purpose
           
           
           
           

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 (for Central Library contact Circulation section supervisor) in writing of cancellation at least two weeks prior to an event may 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. Failure to comply with any of the stated regulations will result in the immediate cancellation of the booking and forfeiture of any funds received, and may lead to suspension of meeting room use.

Note: Art and other forms of exhibits may be installed in the meeting room that some people may find objectionable. If this is of concern to you, or to determine the content of the exhibit for the date(s) you are booking the meeting room, please discuss this with the Branch Manager. All fees are subject to change without notice. Also, unless otherwise arranged, all organizations and attendees must exit the building 15 minutes prior to closing.

Applicant ____________________________________ Home Phone (____)____________
(Name and Title)
Address/M.S. ________________________________ Work Phone _________________
E-mail _________________
Fax Number _________________
__________________________________________________________________________
CityState Zip Code
__________________________________________________________________________
Local Contact Name/Address/Telephone Number (Required)
 
Signature _____________________________________ Date ________________________

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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
___________________________________________________________________________

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PATRON RECEIPT FOR USE OF LIBRARY MEETING ROOMS

Date Use Fees Paid ________ Amount _______ Check No. _______  Received by _______
Date Damage/Cleaning Deposit Paid ______ Amount _____ Check No. _____ Received by _____
Scheduled Date & Time of Meeting _______________ Room _______      Branch _______

From Department Instruction 21-15 APPENDIX A
Effective June 2005