South Greensburg, PA · Westmoreland County

No notary required

LED Message Center Request Form

Eligible individuals and organizations use this form to request a message display on South Greensburg Borough’s LED Message Center.

What this form is

This form lets eligible individuals or organizations request a message on the Borough’s LED Message Center for a community event, purpose, or business. It asks for requester and contact details, message text, display dates, and a signature. Requests must meet the stated eligibility rules and arrive at least three days before a Monday display start; payment is required.

Who needs it

An eligible individual or organization seeking to display a message on South Greensburg Borough’s LED Message Center needs to submit this form.

How to submit it

Mail or deliver the completed form and payment to the Borough of South Greensburg, ATTN: LED Message Center, 1515 Poplar Street, South Greensburg, PA 15601-5497. Pay by cash or check payable to the Borough.

About notarization

This request is signed and dated without a notary; the form identifies no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the LED Message Center Request Form PDF.

  2. 2

    Complete The Request

    Fill in the requester and contact details, message text, display dates or duration, and signature.

  3. 3

    Prepare Payment

    Include payment by cash or check payable to the Borough of South Greensburg.

  4. 4

    Submit To The Borough

    Mail or deliver the completed form and payment to the Borough at the address provided on the form.

Frequently asked questions

Do I need a notary for the LED Message Center Request Form?
No. The request is signed and dated without a notary, and the form identifies no notarized or sworn attachment.
How do I submit the LED Message Center Request Form?
Mail or deliver the completed form with payment to the Borough office at the address listed on the form. Payment may be cash or a check payable to the Borough.
What information does the form ask for?
It asks for the individual or organization’s contact information, message text, requested display dates or duration, and the authorized submitter’s signature and printed name.
How far in advance must I submit a message request?
The Borough must receive a properly submitted request at least three days before the Monday when the message display week begins.

Need something notarized?

This LED Message Center Request Form doesn’t need a notary — but if you have another South Greensburg form that does, a commissioned online notary can help.