HERRIN CITY LIBRARY

120 North 13th Street

Herrin IL  62948-3233

(618) 942-6109

FAX (618) 942-4165

Miss Susan Mullen – Library Director

E-mail: smullenhcl@gmail.com 

 

APPLICATION FOR USE OF THE

TONY GALINES MEMORIAL MEETING ROOM

Name of Organization ______________________________

                                                            _____ Not-for Profit              _____ For Profit

 

Meeting/Event Date(s) _______________________________________________________

 

Meeting/Event Time _________________________________________________________

 

Number of people expected ________________________________(Room Capacity is 150)

 

Purpose of Meeting/Event _____________________________________________________

 

Do you need access to the Meeting Room Prior to the meeting?   Yes____     No____

 

NAME, ADDRESS, AND TELEPHONE OF PERSON MAKING THIS APPLICATION:

___________________________________________________________

___________________________________________________________

___________________________________________________________

 

NAME, ADDRESS, AND TELEPHONE OF PERSON RESPONSIBLE FOR CLOSING:

__________________________________________________________________________________________________________________________________________________________________

 

RENTAL FEE DUE AT TIME OF APPLICATION

 

I have received a copy of the “Herrin City Library – Meeting Room Policies and Regulations” and understand that we are bound to abide by the rules and regulations governing the use of the library’s meeting room facility.

 

___________________________________________________________

Signature