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