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HARFORD COUNTY PUBLIC LIBRARY
MEETING ROOM RESERVATION
APPLICATION
Date ________________________
Organization _______________________________________________________
Contact Person _____________________________________________________
Address _________________________________________________________________________
________________________________________________________________________________
Daytime Phone____________________ Evening phone______________________
Type of Program: ___________________________________________________________________
Date(s) of Program_________________________________ Time(s)___________________________
Size of Group (estimated) ___________________________
Do you need enhanced listening devices?__________ Number requested __________
It is understood that all policy statements and regulations have been read and agreed upon. Inquiries about the program may be referred to the undersigned. The undersigned is responsible for all damages.
Signature of Applicant ________________________________ Date _______________________
********************************************************************************CONFIRMATION
Signature of Library Representative_______________________________________________
Date_______________________________________________
12/92