芝加哥華僑文教服務中心 Chinese Culture Center of the T.E.C.O. in Chicago

場地借用申請表 Facility Application Form

	借用團體 Name of Organization:	中文 Chinese: 大紀元時報
		英文 English : Epochtimes
	負責人 Leader of Organization: Carolyn Lu			電話 TEL : 312-498-3764
	申請人 Applicant : Carolyn Lu			電話 TEL : 312-498-3764
	申請日期 Date of Application : 2005/06/10			Signature :

活動名稱 Name of Event: Book Event for "Losing the New China“
活動簡介 Description of Event: Losing the New China, A Story about American Commerce, Desire and Betrayal by Ethan Gutmann is about current China political and economic situation and foreign investment's role and impact in China as well as in the home country.
參加方式 Type of Admission: 自由免費參加 Free admission 限會員參加 Members Only 事先預約 By Appointment
索票 Ticket only 贊助 Donation (US Dollor ) 其他 Other:
活動方式 Food Service Provided: 茶點 Refreshment Meal 其它 Other -
活動類別Type of Activity: 音樂 Music 舞蹈 Dancing 戲劇 Drama 綜藝 Variety
講座 Seminar 集會Assmbly展覽 Exhibition 其他 Other
申請場地Facility to be Reserved: 禮堂Ballroom
會議室 Meeting room
電腦教室 Classroom
戶外停車場 Park lot
使用時間 Date: 2005 / 06 / 24	Time of use 7:30PM to 9:30PM
佈置時間 Date: 2005 / 06 / 24	Time of setup 6:00PM to 7:30PM
彩排時間 Date: / /	Time of Rehersal to
借用器材 Equipment to be Borrowed: 講臺和音響系統, 擺海報的支架
其　　他 Other Remarks

主任 Director:

副主任 Deputy Director:

承辦人 Registrar:

* 本中心屬非營利機構﹐場地外借不得從事商業行為﹐務請配合遵守。