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Rockland Family Shelter To have your name or your business's name appear as a contributor to the Rockland Family Shelter in our special Journal for this event, please enter your information below. The Journal is distributed to each attendee at the Distinguished Citizen Award Dinner. If you would like to attend the dinner please click here for more information. Kindly respond before March 22, 2004. Instructions: Please complete the form below. All fields are required. When you press the submit button you will be brought to a secure server to enter your credit card information. After the donation process is complete you will receive an e-mail confirmation and you will receive an ackowledgement for tax purposes. Thank you so much for your support. |