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APPLICATION FOR ELK RIVER PUBLIC LIBRARY COMMUNITY ROOM <br />Application is to be submitted to the Elk River Public Library, 13020 Orono Parkway, Elk River, <br />MN 55330, no more than 3 months in advance and at least 3 days prior to the date requested. <br />Organization Name <br />Contact Name <br />Address City Zip <br />Phone Email <br />Activity <br />Date Requested Number of People Expected <br />Start Time End Time (including cleanup) <br />By signing this application, I acknowledge receipt of and agree to follow the Elk River Public <br />Library Community Room use policy. I understand that a portion on all of my deposit may not <br />be returned or my credit card charged if this policy is not followed. <br />Signature <br />Date <br />Date deposit received <br />Date deposit returned _ <br />Fo~~ Office ['se O~zl1~ <br />Payment O Cash O Check # <br />Signature <br />(Individual acc <br />return <br />CREDIT CARD INFORMATION <br />VISA/Mastercard # - - - Expires <br />Name as it appears on card <br />O Credit Card <br />