Engagement and Arrangements Form

The following is a confirmation of the engagement. Details of the arrangements shall be finalized following the Library’s receipt of this completed and signed form. Said form must be received by the Library at least two weeks prior to the engagement.

PLACE: Long Beach Public Library - 111 West Park Avenue, Long Beach, NY 11561
Note: The Library hours on Sundays are 1 p.m. - 5 p.m. - Tel: (516) 432-7201
Auditorium Doors will be open to the public 30 minutes prior to the beginning of the program. Please arrive early to set up.

PLEASE NOTE: NO PROGRAM PRESENTER SHALL SELL, OR SOLICIT FOR, A PRODUCT OR SERVICE IN CONNECTION WITH THE PRESENTATION OF A LIBRARY PROGRAM.
Please be advised that, as an independent contractor, you do not qualify for any benefits provided to the regular staff of the Long Beach Public Library.
If you have to cancel this performance, please call the Programmer or the Reference Desk Librarian as soon as possible at 432-7201 or email the library at info@longbeachlibrary.org. Subject - Att: Cancellation of program. The staff of the Library may not be able to introduce your program; if this is a problem, please contact the programmer, at 516-432-7201.

Date

YYYY

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Phone

(###)

###

####

Website

http://

Person or Group *

Program *

Date of Appearance *

Time

FINANCIAL ARRANGEMENTS: FEE: *

Please submit a bill with your Social Security or Tax I.D. Number. No check can be issued without a bill and Social Security or Tax I.D.# and a completed and signed W-9 form. Please note: We will make every effort to compensate you in a timely fashion. However, we do not guarantee payment on the date of your performance. In order to process your check, we must receive a signed contract, a signed W-9 form and a signed Indemnity Form as soon as possible.

Length of Program

Will you need to schedule rehearsal time? Call 516-432-7201 to schedule.

Yes

ROOM SETUP

Chairs facing platform

In a circle

Other

Special or other requirements

Please check if you will be using:

Piano

Power Point Presentation

Lectern

Slide Projector

Do you need copies of program material? If yes, please supply material 2 weeks prior

Blackboard

Tables