Forum RSVP Form

Monday, October 29
South Shore Country Club - Hingham
6:30 PM

If you have any questions or difficulty completing the form, please contact
Ronit Goldstein at 718-740-6693.


Contact Information  
    *Your First / Last Name
    
    *Phone or Cell Phone
 -   -   Ext.   
    *Email Address:
(We will never disclose your email address)
    *Address 
    *City
    *State
    *Zip
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Subject:
 
 
*I oppose takeover
Yes   No
*I want more information
Yes   No
*I will attend the forum
Yes   No
 
 Comments:
 
 
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