Fairfield County Chapter of the Ohio Genealogical Society

Fairfield County Genealogical Library

503 Lenwood Drive Lancaster, Ohio

Facility Use Application

Date ________________________________________________________________________

Name of organization ___________________________________________________________

Contact person ________________________________________________________________

Phone number and /or email ______________________________________________________

Purpose of meeting(s) ___________________________________________________________

_____________________________________________________________________________

Date(s) and time(s) requested for use of FCGL:

date __________________________________ time ____________________

Recurring meetings/times (ex. first Thursday of each month, 7pm-9pm))

_____________________________________________________________________________

I/we have read the Facility Use Policy and Meeting Space Information and agree to abide by the policies set forth.

Signature _______________________________ Date __________________

_____ Executive Board approval granted Date _________________

Signature of officer _____________________________________________

Use fee collected — $________________ Date _________________