|REQUEST FOR COMMUNITY
Name of organization: ___________________________________________________
Name of contact person:__________________________________________________
Number where contact person can be reached:_________________________________
Date of display: _________________________________________________________
Purpose of display:_______________________________________________________
Brief description of display:________________________________________________
I would like to set up my display on : _________________________________________
I will take my display down on: ______________________________________________
Tables are available from the library for your convenience. Inquire about sizes. Will you need a table?__________
The library is not responsible for any loss or damage to your display.
I agree with the attached policy and understand the library does not insure displays. I understand all reasonable precautions will be taken to protect my materials, but the library is not responsible for reimbursement or replacement of lost, stolen or damaged articles.
This form must be turned in to the Library Director for approval.
Scott County Public Library
104 S. Bradford Lane
Georgetown, Kentucky 40324