Community Meeting Room Request

AFFIDAVIT OF APPLICANT (Read carefully before signing)

I, the undersigned do attest that I am an authorized representative of the Organization named above and thus entitled to sign on their behalf. I hereby certify that all statemenst made in this application are true and correct. I agree and understand that any misstatement of the facts herin will nullify this application, disqualify approval and may cause the Organizatoin to become ineligible for future use of any City of Alexandria facilities.