Geneva Historical Society
543 South Main Street
Geneva, NY 14456
Phone: (315) 789-5151 Fax: (315) 789-0314 Email: kosburn@genevahistoricalsociety.com
The Geneva Historical Society hereby loans the object(s) listed below to
This object will be used for .
understands he/she is responsible for returning the
object in the same condition it was received.
Lender:
Geneva Historical Society
Date:
543 South Main Street
Geneva, NY 14456
Museum Representative:
Title: Archivist
Borrower:
Date:
Name:
Address:
Phone:
Signature: