Exhibit/Display Application
Link to PDF copy of this form
Items displayed in the Amherst County Public Library shall
remain on display for the time shown on the face of this
receipt.
Such material will be returned only to the owner or to his
or her duly authorized agent or representative. Without prior
notice of change, only the individual signing this agreement
will be allowed to remove the display from the Library.
The signer of this agreement acknowledges affirmatively
that the items displayed in the Amherst County Public Library
are not insured by the Library or Amherst County and assumes
the risk of any damage or loss resulting from the objects
being displayed on County property.
These conditions shall apply to all items displayed in the
Amherst County Public Library and cannot be altered, changed,
waived, or otherwise affected except by written consent of
the Director of the Library.
I have read and accept the Library’s Art Exhibit and
Display Case Use Policy and all conditions listed here:
Name (please print):________________________________________________________________
Organization (if applicable) _________________________________________________________
Home Address: ___________________________________________________________________
Home Phone:____________________________Work Phone:______________________________
Email: _____________________________________________
Proposed Exhibit (Please date, sign and attach an itemized
list of display articles)
Library________________ Installation Date: ____________
Removal Date: ____________
Circle display area requested: Wall Display Case (2 sections,
each section is 42" high, 43" wide, 12" deep)
Note: The display case will be locked at all times; however,
the exhibitor should refrain from including irreplaceable
items or those of great value.
Exhibitor Signature: _____________________________________
Date: ____________________
Library Director Signature: _______________________________
Date: ___________________
EXHIBITOR:
Please complete this form and submit to library director
a minimum of two months prior to proposed exhibit. You will
be contacted when a decision is completed. You will need
to present a copy of the approved application to the library
staff when setting up display. Should the materials not be
picked up on the last day of the exhibit, the library will
attempt to contact the above representative for 2 weeks after
which the materials will be discarded.
Adopted by the Amherst County Public Library Board of Trustees
February 25, 2003
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