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Exhibit 4, Application for Use of Meeting or ICN Room

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Application for Use of Meeting or ICN Room


Name of organization:_____________________________________________________

Contact person:___________________________________________________________



Date of meeting___________________________________________________________

Time of meeting: From _____________________to______________________________

Number of persons expected:________________________________________________

Will refreshments be served?    Yes______   No________

The person who signs this reservation form shall be responsible for problems or costs resulting from the specified use.  Groups accept responsibility for the repair or replacement of damaged or missing facilities or equipment.  Children’s groups must be supervised by two adult sponsors.  The door shall be locked and key shall be promptly deposited in the book depository at the conclusion of the meeting or use of room.

I have received a copy of the Meeting Room Policy and understand and will comply with all its regulations.




The Eldora Library Board of Trustees of the City of Eldora is not responsible for accidents, injury or loss of individual property while using the Meeting or ICN Room.

 Exhibit 4

This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.