APPLICATION FOR DISPLAY/EXHIBIT

MERCER COUNTY PUBLIC LIBRARY

HARRODSBURG, KY 40330

PLEASE READ: By granting permission to use the display/exhibit area of the Mercer County Public Library (MCPL) , the library in no way assumes responsibility for the safety, security or upkeep of the display materials.  The Library does secure the Library in general and feels that exhibits are relatively safe.  The exhibitor needs to be aware that no special security arrangements or insurance is provided through the library for public exhibits. Though the Library appreciates having exhibits available through its facilities, it cannot be held responsible for security of display materials.


NAME OF EXHIBITOR:_____________________________________________________
 

ADDRESS: ____________________________________________________________________________________________
 

PHONE NUMBER: HOME: _________________________         WORK: ________________________

IF EXHIBIT IS A GROUP PRESENTATION, PLEASE GIVE THE NAME OF A CONTACT PERSON RESPONSIBLE FOR THE GROUP.

NAME_______________________________________________________
 

ADDRESS_________________________________________________________________________________

PHONE NUMBER: HOME: ___________________________      WORK: _______________________

TYPE OF
EXHIBIT/DISPLAY______________________________________________________________________________

DATES REQUESTED:__________________________

I have received a copy of the Library' 8 Display/Exhibit Policy and I/our organization agree/s to abide by those regulations.  I further understand that the Library accepts no responsibility of security beyond what it provides for its own property.

SIGNATURE:_____________________________________________________

APPROVED BY:________________________        DATES CONFIRMED: ___________________________

DATE NOTIFIED: _________________________       

 CONTACT: _________________________________