Galway Lions Club, Inc.
P.O. Box 244
Galway, NY 12074-0244
galwaylionsclub@juno.com
www.galwaylionsclubny.org

NOTE:
Your generous donation to the Galway Lions Club would be appreciated one week prior to the event.
Please make checks payable to Galway Lions Club, Inc. Please remember and abide by our Carry-in,
Carry-out policy. This policy is in effect for all events.

Please submit electronically or print and return this form and your kind donation to:

Galway Lions Club, Inc.
P.O. Box 244
Galway, NY 12074-0244

Applicant’s signature hereon indicates agreement with all rules and regulations stated or implied in the Community Room Policy, this document and Hold Harmless Agreement, and that the applicant has read and received a copy of said documents.
Community Room Request

30 May 2021