Room Request Information Form/Quote Sheet Date of Inquiry: Additional Information: Group/Company Name: Contact Name: Mailing Address: Contact Number: City Resident: Yes No Alternate Phone: Fax: Non-Profit Group: Yes* No Email Address: (*If Yes, Will Need to Provide 501(c)(3) documentation) Date of Event: Day(s) of the Week: Time of Event (Begin Time/End Time ): (Two Hour Minimum Room Rental) Time with Set-Up and Take-Down: (Total Hrs: ) Number of Guests: Type of Event: Planned Activities: ROOM Suggested: ($_______/hr**) X (Hrs_____) = + [$________] (**Additional $20/hour is Added to Room Rental Fee for Events Serving Alcohol) Multiple Date Discounts( (Weekly-30%; Bi-weekly-20%; Monthly-10%) - [$________] Will Alcohol be served?: No Yes Liability Insurance - Client already has: Library to be Named as Additional Insured – Copy for File Client Does Not have: Purchase from City Hall - $100 - $200: + [$________] SUB-TOTAL: [$________] Set-up/Take-down: Client Staff = $80 ($125 – C/D Room) + [$________] Security: Regular Hours After-hours ($25/hr per 100 guests) + [$________] Theater Use requires Theater Technician @$35/hour + [$________] Set-up Needs: Equipment Needs(: + [$________] SUB-TOTAL: [$________] Deposit: $300 $500 (Theater; C/D Room; Tabby Storytime Theater) Events Serving Alcohol: $500 $700 (Theater; C/D Room; Tabby Storytime Theater) + [$________] TOTAL QUOTE = [$________] Comments/Questions: ROOM: DATE OF EVENT: REV. May 19, 2006