Auburn Public Library 24 5th Street Auburn, GA 30011 770.513.2925 https://www.prlib.org/auburn	Statham Public Library 1928 Railroad St. Statham, GA 30666 770.725.4785 https://www.prlib.org/statham	Winder Public Library 189 Bellview Street Winder, GA 30680 770.867.2762 https://www.prlib.org/winder

MEETING ROOM APPLICATION

A non-refundable maintenance fee of $75 is charged for the use of a large library meeting room, per meeting, per day. The fee is $25 for non-profit groups per meeting, per day.

Name of Organization:
Purpose of Meeting:

Date of Meeting:
Begin Time:	End Time:
Time being booked, including set up and breakdown:
Number of attendees expected:

Contact Information for Applicant:

Name:	Phone:
Address:
Email Address:

By applying for the use of the meeting room, I agree to adhere to the meeting room policy and to be responsible for any damage caused by our use of the meeting room.

Signature:	Date:

Alternate Contact Information:

Name:	Phone:
Address:
Email Address:

FOR LIBRARY STAFF

Date Booked & Your Initials:	Date Paid:	Your Initials:
Amount Paid:	☐	Check	☐	Cash	☐	Credit

3.8.22