For internal use only

Date/time ____________Conf?_____

Guide____________A/V__________

  CITY OF ANN ARBOR SOLID WASTE DEPARTMENT

MATERIALS RECOVERY FACILITY (MRF) EDUCATION CENTER PERMIT/REGISTRATION FORM

Applicant


        (group/school/business)

Contact Person


Address



Phone


       (day)              (evening)                          & nbsp;        (fax)
 

Type of Function         (  ) window         (  ) meetings        (  ) other, please specify    


Date and times requested (include duration of visit)

  •  first choice
  • second choice

    Expected number in group                                Grade Level (if applicable)


     
  • A/V requests:     (  )TV/VCR         (  )Slide Projector             (  )Overhead Projector
     
     

    Specific focus of tour, special requests or additional comments:
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     


    Please note:
    1.  All registration forms are subject to the approval of the Solid Waste Department.  This form does not guarantee a reservation without the consent of the Education Center.
    2. Groups or individuals reserving the Education Center are responsible for all charges incurred due to any personal injury, property loss or damage to the premises and/or  its contents which may result when using the facilities.  The City of Ann Arbor does not accept responsibility for any articles, goods, or equipment which may be left in the facitlity.
    3.  In the event of a cancellatioin, please call the Solid Waste Dept., 734-994-2807, 24 hours in advance.

     
     


    Applicant Signature                                      Date