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First Annual Scroll of Honor* and First Annual In Memoriam Scroll*
Scroll of Honor Donation $50 each

In Memoriam Scroll Donation $50 each
Donation $100 for each paragraph (includes name) giving brief tribute to the woman you have chosen to honor in either category shown above.

*To appear on WAGG-NJ Web Site www.WAGGNJ.org
A WAGG-NJ Certificate suitable for framing will also be sent to you inscribed to the person of you have chosen to honor.
If you have any questions, please call Women's History Month Fundraising Chair
Former Assemblywoman Rose Heck at 201-288-2158 or e-mail RoseHeckWCG@Verizon.Net

Please return this form along with your check to
Hon. Rose Heck,
WAGG-NJ
501 Collins Avenue,
Hasbrouck Heights, NJ 07604

Please include your check made out to WAGG-NJ

If you want any additional information, please do not hesitate to contact me. Thank You. Rose Heck

To print out a form, click here.
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