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Wildwood Manor 05/15/2015 FRI 8: 3 FAX I�001/OON�
r C) � I to
2010-0 1-19 JCM
FOR TNTERNAL USE ONLY Town of Wappingelr
Received by.- Joseph R Paaloni u Ag reemelit for the Use of the. Towti
Grace Robinson K Hall Facilities for Meetings
Date Received.-
Application f I oo-w D Cert. of LI
1-1 Notified Recreation (date-__L_)
Agreement for the Use of the Town Hall Facilities for Meetings
W C)(,)C( cul fly, Ger KV�'1 l V t v 1'
Name of Organl7ation or Group
Nti raze of l�crsca�7 r e��E esenting the Or ganizadon or Coll]
Address Phone No.
This will confirm the arrangements being requested for your groups' use of't 10 Wappinger Town Halt Facilities, as
noted below,.
(( ] Seidel-Citi7enS Room
Large Meeting .Room
( ) other. Specify:
Th1e grciu as not expected to exceed L7 r"] ersons
lit ( )
PS'
1 -r , Time: _ .. t
It should be understood that groups using the Buildings' Facilities for evening meetings 1-nust Select dates when
Town Meetings are normally scheduled (i,c.,Justice Court, Planning Board, etc.) Special requests will be
coz}aidered upon their own merit, and arrangements can be niade for access to,and closing, the building at the close
of your meeting.
You and your Organization hereby agree to adhere to the rEdes set forth on the attached page by signature of an
authorised member of your Organization or group.
The Tows, of Wappinger reserves the right to suspend temporarily this agreement should the Town have alecd of the
facility for its own purposes, Advance notice will be given as soon as possible on such occasions.
The Town Clerk should be inf6mied promptly of any scbedule change or cancellation of your group activities,
Amingcrlictlts for access to specific area to be used should be made with the Town Clerk at the time this form is
subinitted,
No application shall be considered approved utltil it 17as been-submitted to the;Town Cicrk for review and �
Cicalance.
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