Gant Room Registration

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Minimum of 10 people

Millville Public Library

210 Buck St., Millville, NJ 08332
856-825-7087 / contactus@millvillepubliclibrary.org

Today's date *

YYYY

Name of Organization/Person *

Phone number *

Contact email *

Date(s) of use *

Time(s) of use [start - end time] *

Please include set-up and clean-up time in the time of use

Estimated attendance *

Purpose for meeting *

Type of Organization/Group *

Non-profit

Profit

Admission to be charged, if applicable *

Signature/Date of Applicant & Responsible Person

Millville Public Library's Rules and Regulations for Use of the Library Facilities

(The organization/person shall be the person responsible for enforcing the regulation of the Board of Trustees. S/He shall also be responsible for making all necessary arrangements with the Millville Public Library.)

Signature and date of Library Director (internal use)

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