(This agreement must be filled in, signed and turned in before the collection is displayed.)
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The Allegan District Library hereby grants as exhibitor of
the ________________________________________
approval to use and exhibit at 331 Hubbard St, Allegan, MI beginning
on _________________ for set-up and to display on
________________________ and exhibit dismantle on
_______________.
This exhibitor and the Allegan District Library agree that the Allegan District Library shall be held harmless and absolved of any and all liability that may result in injury, misadventure, harm, loss or any inconvenience suffered as a result of the use of this property.
___________________________________ _________
(Library Representative) Date
___________________________________ _________
(Exhibitor) Date
___________________________________________
(Street Address)
__________________________________________
(City, State, Zip)
__________________________________________
(Phone #)
__________________________________________
(Email)
Rev: 11/2009