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2010-01-19 JCM
Date Received:
Chris Masterson 0
Christine Fulton 0
Sue Rose j(
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Town of Wappinger
Agreement for the Use of the Town
Hall Facilities for Meetings
=- FOR INTERNAL USE ONLY
;::: Received by:
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Serial #: c9 0
. / crt rlJ) &
m" ~lication 0 $100.00 !if Cert oiL'(
if Notified Recreation (date:-1-~1).I11Q )
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This will confirm the arrangements being requested for your groups' use of the Wappinger Town Hall Facilities, as
noted below:
( ) Senior Citizens Room
( ) Large Meeting Room
~ Other: Specify: ~,., ,,/ ;J~trJ:"~ E~y(Je ,&,,,,e(:lj' /!,.(!.Q-I1:"jS
The group is not ex~ to exceed /5 persoDS
Date(s): ,,/:1,_ Time: It? ; (J() ~.~ - /cl c'.1o 1/-""-
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h should be understood that groups using the Buildings' Facilities for evening meetings most select dates when
:> Town Meetin~ are DOIIIl81ly scheduled (i.e., Justice Court, PlamDng Board, etc.) Special requests will be
:::; considered 11pOD their own merit, and amm~ can be made for access to, and closing, the bmlding at the close
~ of your meeting.
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~ You and your OIgJmi7.at100 hereby agree to dere to the rules set: forth on the attached page by signature of an
3: authorized member of your OrgJrni7.ation or group.
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~ The Town of Wappinger reserves the right to suspcod tanporarily this agreement should the Town bave need of the
~ facility for its own pmposes. Advance notice will be given as soon as possible OIl such occasions.
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The Town Clerk should be informed promptly of any schedule dumge or cancellation of your group activities.
:2' Ammgemcots for access to specific area to be used should be made with the Town Clerk at the time this fOlIn is
~ submitted.
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No application sball be amsidcred apJX'oved until it bas been submitted to the Town Clerk: for review and
:=: Clearance.
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CL Terms of the agreement must be strictly adhered to by the contracting group as any disregard or abuse of the roles
for use of the facilities will result in tl"n'ninllhOD ofuse by the offending gro~ and they will not be granted
~ reinstatemeDl
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ACC>Rd CERTIFICATE OF LIABILITY INSURANCE
~ 04/14/2010
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