<p> MILWAUKEE PUBLIC LIBRARY REQUEST TO A USE CENTRAL LIBRARY CONFERENCE ROOM</p><p>Check One: Conference Room 2A – Paul Gottfried Krikelas Technology Conference Room (Capacity: 12) Conference Room 2B (Capacity: 16)</p><p>APPLICANT AND RESPONSIBLE PARTY (MUST BE 18 YEARS OLD OR OLDER): Name: </p><p>Organization: Position in Organization: Address: City, State, Zip: Phone number: Fax number: E-mail address: </p><p>PURPOSE AND BRIEF DESCRIPTION OF MEETING:</p><p>DATE AND TIME INFORMATION (Available during Library open hours): Date(s) Entry/Exit Time Date(s) Entry/Exit Time to to </p><p> to to </p><p> to to </p><p>OTHER INFORMATION: Estimated Attendance (note capacities above) *Will refreshments be served? Yes No *Coffee With a Conscience is located in Central Library and offers refreshments. Visit or call 414-286-2005.</p><p>KRIKELAS CONFERENCE ROOM (2A) This section is only for applicants requesting the Krikelas Conference Room I would like to request the following equipment (available in the Krikelas Conference Room [2A] only): Television VCR DVD Player Laptop Computer LCD Projector Library Card No. (required for equipment use): </p><p>As an individual or the authorized adult representative of the eligible organization, I hereby apply to assume the responsibilities under this application. I have read the rules governing the use of these rooms and agree that these rules will be strictly observed. The applicant and/or organization agree to save and keep the Milwaukee Public Library, City of Milwaukee, harmless from any and all liability whatsoever arising out of the use of the facilities and equipment.</p><p>Date Signed </p><p>LIBRARY USE ONLY: Approved Denied. Explain:</p><p>Date: By: MPL-41E.BUS</p>