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Borough of  Roseland
19 Harrison Avenue
Roseland, NJ 07068
Essex County, NJ


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Contribution Form
Roseland Volunteer Fire Department

Please fill in the requested information below, print the form and send with your check made payable to:

Roseland Volunteer Fire Department
Complete this on line form and then print it.

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Name:

Address:

Phone:
Amount of Donation:  {click on arrow for choices)
If other please state amount:
Interested in Joining?yes no

 

 

Thank you for your tax deductible contribution:

 

 

                    

 

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