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03/26/201.5 THU 3: 56 YAX 0002/003
2()lo-.()1-1 L) ICM
FOR INTbANAL USE ON.T:,,x Town of Wappingclr
Received by. Joseph P. Paoloni n Agreement for the Use of the TOW11
Grace Robinson ❑ Hall Facilities fclr Meetings
Date,Received:
Serial It:
Ll Application n $100.00 U Cert. of lel
U Notified Recreation(date: }
Agreement for the Use of the Town Hall Facilities for Meetings
Narne of OrgLmi aiion or Group
Un C. _ O x' r W1u+n i �JAss cC.l<�.�r� �w►�.
Name of persb#t c'cpresenting the Orgailiza&n or OfOUP "
Address Rhone No.
This will confirni the arrangonients being requested for your grroups' use of the Wappinger Town Hall Facilities, as
noted below:
--Senior Citizws Room
( Large Mccting Room
( ) Othor: Specify:
The group is not expected to exceed Zoo persons
Date(s); Cc� ... (. -�-O J .� 1"irne _ rte+ vw -
It should he understood that groups using the Buildings' 1~acilitios For evening Meetings must select dates wlicli
Town Meetings are nonnally scheduled (i.e.,Justice Court,Planning Board, etc.) Special requcsts will be
considered Upon their own merit, and arrangmnents can be made for access to, and closing, the;building at the close
of your meeting.
You and your Organization hereby agree to adhere to the rules Set forth on the attached page by signature of an
authorized nicmbcr of your Organization or group.
The Town of Wappinger reserves the right to suspend temporarily this agreement should the Town have need of the
11"acility for its own purposes. Advance notice will he given as soon as passible on such occasions.
The:Town Clerk should be inforniod pro#raptly of any Schedule change or cancellation of your group aclivitios.
Arrangellicnts for access, to specific, arch to be used should be made with the Town Clerk at the tinge this furrtr is
SIdbn)itted.
No Application shall be considered approved until it has been subinittod to the Town Cleric for review and
l;;lcar•Ance.
03/26/'O15 THU 8: 96 Fax IM003/003
2010-0149 3CM
Terms of the agmumtnt must bG strictly adhered to by the conWacling group as ally disregard or ahuse of the rules
for use of the facilities will rosxilt in termination of use by the offending group,and they will not he granted
reinstatemunt.
I havc read and understand the rules and regulations for the use of the Facilities in the Town of Wappinger Towii
Hall, and will comply with these requirem its.
Signed: C ,
For; � 1 ( i fJ] .L� �. 1 k VY-11
.,
y" (Name of Group oi,Organization)
Approved-
Town Clerk
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