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)
*I oppose takeover
Yes   No
*I want more information
Yes   No
*I will attend the forum
Yes   No
Note: * Indicates required fields