SPRINGFIELD CITY LIBRARY

APPLICATION FOR USE OF LIBRARY EXHIBIT/DISPLAY SPACE

RETURN THIS APPLICATION TO LIBRARY LOCATION WHERE SPACE IS DESIRED

EXHIBITOR INFORMATION:

NAME:_________________________________________________________________

CONTACT PERSON, IF A GROUP:_________________________________________

ADDRESS:______________________________________________________________

TELEPHONE:___________________________________________________________

EXHIBIT INFORMATION:

TITLE/SUBJECT:________________________________________________________

MEDIUM:_______________________________________________________________

SPACE REQUIREMENTS:_________________________________________________

________________________________________________________________________

NUMBER OF PIECES:____________________________________________________

PREFERRED DATES: ______________________ to ________________________

I agree to comply with all conditions outlined in the Springfield City Library Policy On Exhibit And Display Spaces.

SIGNATURE _____________________________________ DATE ________________

APPROVED DATES : _____________________ to ________________________

This page last updated: June 17, 2004