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TOWN OF WAPPINGER
P.O. Box 324 - 20 MIDDLEBUSH ROAD
W APPINGERS FALLS. NY 1 2590
Town Clerk
Office: 845.297.5771 N Fax: 845.297.4558
www.townofwappinger.us
J~ECE'VE:L
JAN i5 2010
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Agreement For The Use Of The Town Hall Facilities For Meetings
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This will confirm the arrangements being requested for your groups' use of the Wappinger Town Hall
Facilities, as noted below:
( ) ~nior Citizens Room
cPr'" Large Meeting Room
() Other: Specify:
The group is not ~e ected to exceed () persons 'Z'I'1M_ 1''' O;1/J
Date(s): --'-.11k>. Ii- 2.'3. 7.t) J _ Time: _12LL LUr U I
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It should be understood that groups using the Buildings' Facilities for evening meetings must select
dates when Town Meetings are normally scheduled (I.e., Justice Court, Planning Board, etc.) Special
requests will be considered upon their own merit, and arrangements 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 member of your Organization or group.
The Town of Wappinger reserves the right to suspend temporarily this agreement should the Town
have need of the facility for Its own purposes. Advance notice will be given as soon as possible on
such occasions.
The Town Clerk should be Informed promptly of any schedule change or cancellation of your group
activities. Arrangements for access to speCific area to be used should be made with the Town Clerk
at the time this form is submitted.
No application shall be considered approved until it has been submitted to the Town Clerk for review
and clearance.
Terms of this agreement must be strictly adhered to by the contracting group as any disregard or
abuse of the rules for use of the facilities will result in termination of use by the offending group, and
they will not be granted reinstatement.
TOW045.TC-THF (4-03 Rev) 1 of3
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Town of Wappinger Town Clerk
Agreement for the use of the Town Hall Facilities for Meetings
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I have read and understand the rules and regulations for the use of the Facilities In the Town of
Wapping Town Hall, and will compl . these requirements.
For:
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Signed:
Dated:
Approved:
Date:
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TOW04S.TC-THF (4-03 Rev) 2 of 3
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