info@fairmontwv.gov
200 Jackson Street, Fairmont, WV, 26554, US
304-366-6211
Full Name
Personal Full Address
Is the Organization Insured
Start Date Requested
End Date Requested
Days of the Week Requested for Field Time
Have you contacted the City about your usage request prior to completing this request form?
Any questions, please contact Hanna Turner 304-36-6212 ext 340 or hturner@fairmontwv.gov