Ridley Township Public Library Meeting Room Application
Name of Organization: ______________________________________________
Purpose of Meeting: _________________________________________________
Date(s) requested – include first preference and alternate date
1st choice: ________________________________
2nd choice: _______________________________
If this request is for a regularly scheduled meeting, please list exact dates of each meeting for the year this request covers.
Dates: ______________________________ Time: ________________
Anticipated Attendance: ______________________
Refreshments circle one: yes no
Fee $25.00 circle one cash check/M.O.
Arrangements made by:
Name:
Address:
Telephone:
Please see the policy for the use of the meeting room. Violation of these regulations will result in the cancellation of future meetings.
I have read the meeting room policies and accept their provisions.
_________________ __________________________________
Date of Request Signature of Responsible Party
__________________ __________________________________
Date of Approval Approved
Mail form to RTPL 100 E. Macdade Blvd. Folsom, PA 19033 or email as an attachment to [email protected]
