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APPLICATION FORM FOR RESERVATION
OF AUDITORIUM

NAME OF ORGANIZATION OR INDIVIDUAL: ................................................

ACTIVITY OR PROGRAM: ................................................

DATE(S): ...............................................

TIME(S): ................................................

SPECIAL EQUIPMENT REQUIRED: SCREEN / PIANO / KITCHEN

OTHER: ................................................

AMOUNT OF RENTAL FEE ENCLOSED: ..............................................

We have read the RULES AND REGULATIONS OF THE INSTITUTE pertaining to the reservation of the above premises and equipment (as inscribed on the back of this form) and we agree to follow them, and any others which the Institute may stipulate, if this application is granted. We further agree to exercise the utmost care in the use of Institute property and to make good any damage arising from our use of the building.

NAME OF APPLICANT: ................................................

ADDRESS: .......................................................................................

TEL. NO: ....................................

(signature of applicant) .......................................................

APPROVED BY: ..............................................................

Chief Librarian