West Hartford Citizens for Peace and Justice

Application For Table Space at 
WHCPJ Town Hall Forums

Forum:
__ Scott Ritter, January 24th at 7:30 PM

__ Check here if you want to be listed in the program as a sponsor of this event

Please print this form, complete and return it with your check to the address below.  Other arrangements can be made by contacting the forum organizer:

West Hartford Citizens For Peace and Justice
PO Box 271806, West Hartford CT 06127

Make Checks payable to "WHCPJ"

Organization Name____________________________________
Contact Person      ____________________________________
Address_____________________________________________
___________________________________________________ 
Phone #_____________________________________________ 
Single Table ...........................$25.00
Two Tables ...........................$40.00

Doors open at 5:45 PM for table set-up.
Tables should be ready by 6:15 when the general public will be admitted.

Table space will be pre-assigned by the WHCPJ Forum committee; Tables will have an label identifying which group is using that table..

The Legal Stuff:
1. Applicant assumes all liability for any loss, damage or injury incurred
2. WHCPJ provides table space on a non-discriminatory basis.  Accepting an application for table space does not constitute an endorsement of any organization or their tenets by WHCPJ.