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City of Grand Junction City Clerk's Office

cityclerk@gjcity.org

250 North 5th St, Grand Junction, CO 81501

970-244-1509

Form Section 1

CITY HALL MEETING ROOM AND ASSEMBLY AREA RESERVATION FORM

Area/Room you are reserving

Organization Name:

Type of Entity

Federal ID #

Enter Type if Other Entity was Chosen

Contact Person:

Phone Number

Purpose of Meeting:

Will the meeting be open to the public?

Yes

Will admission be charged?

Yes (For-profit users will be charged an additional fee)

Date/Time Meeting Starts (military time)

Date/Time Meeting Ends (military time)

Expected Attendance:

**Food, drink (other than water), and signs are NOT allowed in the Auditorium.

Signature of Applicant

First Name

Last Name

Draw Type

I agree to comply with any and all applicable laws, rules, regulations and ordinances, and be responsible for the use of City Facilities, understanding my obligation to pay the determined fees, and being responsible for the facilities and equipment that the above named organization uses. I also understand the City reserves the right to cancel a previously confirmed reservation or withdraw permission to use a City Facility at any time.

City of Grand Junction City Clerk's Office

CITY HALL MEETING ROOM AND ASSEMBLY AREA RESERVATION FORM

Will the meeting be open to the public?

Will admission be charged?

Date/Time Meeting Starts (military time)

Date/Time Meeting Ends (military time)

Signature of Applicant

Please check all that apply:

Audio/Video

Microphones

Tables/Chairs

Does the meeting require broadcasting?

CITY HALL MEETING ROOM AND ASSEMBLY AREA RESERVATION FORM

Full Address

Will the meeting be open to the public?

Will admission be charged?

Date/Time Meeting Starts (military time)

Date/Time Meeting Ends (military time)

Signature of Applicant

Please check all that apply:

Audio/Video

Microphones

Tables/Chairs

Does the meeting require broadcasting?