Brooklin Volunteer Fire Company

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$
Indicate the form of tribute (if any). Additional fields will be provided for the name of the person

First Name
Last Name

First Name
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Your Contact Information

First Name
Last Name
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It helps us save costs and volunteer time if you choose email rather than postal mail

Please enter your nickname, first name, Ms, Mr, Mrs, Dr or other salutation exactly how you'd like it to appear when we write to you. For example, enter "Ginger & Fred" to see it as "Dear Ginger & Fred"; enter "Doctor & Mr Rogers" to be addressed as "Dear Doctor & Mr Rogers"; "Rogers Family" for "Dear Rogers Family"; etc.

Please enter your nicknames, first names, Ms, Mr, Mrs, Dr or other identification exactly how you'd like it to appear when we post a list of donors (as in "Ginger & Fred Rogers" "Doctor & Mr Ginger Rogers", "The Ginger & Frederick Baker Rogers Family", "Anonymous" etc.)

First Name
Last Name

Please enter their nickname or other exactly how they'd like it to appear.

First Name
Last Name

Please enter their nickname or other salutation exactly how they would like it to appear.

First Name
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Please enter their nickname or other salutation preference exactly how they'd like it to appear.

First Name
Last Name

Please enter their nickname or other salutation exactly how they would like it to appear.




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It would help us a great deal if we could contact you collectively—or at least via email only if individually

First Name
Last Name

Please enter their nickname or other salutation exactly how they would like it to appear.

First Name
Last Name

Please enter their nickname or other salutation exactly how they would like it to appear.



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Enter the name of the organization that you are donating on behalf of. It can be a business, a charitable group or even an informal group (ie, "The deli staff at the Brooklin Hanafords")
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Please provide a rough idea of when you think you will next arrive in Brooklin for the season

Please provide a rough idea of when you think you will next leave Brooklin for the season

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Please provide a rough idea of when you think you will next start receiving mail in Brooklin for the season

Please provide a rough idea of when you think you will next finish receiving mail in Brooklin for the season

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Click yes if you would like us to notify the person that you are honoring of your gift

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select method of contacting the person to be notified of your tribute
select method of contacting the person to be notified of your tribute



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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

We welcome your comments or other notes.