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APPLICATION FOR USE OF THE CABARRUS COUNTY PUBLIC LIBRARY'S PUBLIC MEETING ROOMS (Please review rules for meeting room use prior to completing application.) Date of Application: Phone # for Public Information: Name of Organization: Name, Position in Organization, Contact Information of Person making application: Name: Position: Address: City State/Zip Code Telephone (Work) (Home) (Cell) Email address: My group requests the following room/s: (Please Select) Concord Library ❑ Small Meeting Room (capacity: 22); ❑ Auditorium (capacity: 120) Harrisburg Library ❑ Meeting Room (capacity: 48) Kannapolis Library ❑ Meeting Room (capacity: 81) Mt Pleasant Library ❑ Meeting Room (capacity: 55) Date(s) of Meeting: Meeting(s) will start at: and end at: Estimated # of Attendees: (Please Note: All meetings must be held during normal library hours of operation and conclude at least fifteen minutes prior to the library's closing time, unless otherwise approved by the Manager/Director.) Purpose of the Meeting (see reverse for usage rules): Refreshments may be served but must be limited to drinks and finger food. The group reserving the room is responsible for clean-up. Garbage cans, vacuum cleaner/carpet sweeper will be provided. Will food and beverages be served: ❑yes ❑no Will you need access to the kitchen? ❑yes ❑no Kitchen not available at the Kan napol is Library. Will you need to use Library equipment? If so please check all that applies. (Please note: you will be responsible for any damages incurred.) ❑ Wireless Microphone (Concord Only) ❑ Piano (Concord Only) ❑ Easel ❑ DVD Player ❑ Tables (indicate # _) (C - 6; H — 8; K - 10; M - 6) ❑ Overhead Projector (Mt Pleasant Only) On behalf of my organization, 1 have read the attached USAGE RULES and agree to comply with all regulations governing use of the meeting rooms, and on behalf of my organization, to assume responsibility to assure that all regulations are met. 1-14 Attachment number 2 \n F-9 Page 206