Application For Use Of The Community Sign
Name & Address of Entity: ___________________________________________________________
______________________________________________________________
______________________________________________________________
Contact Person & _______________________________________________________________
Address _______________________________________________________________
Phone _______________________________________________________________
Purpose of Entity _______________________________________________________________
________________________________________________________________
Dates requested: ________________________________________________________________
The above rules are
acknowledged
and agreed to: (Applicant)
________________________________________________________
ACCEPTED by the
Zelienople
Rotary Club
_________________________________________________________________