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Information for a RoseNet Listing - Business Organization
Mail completed form to: RoseNet, c/o Madison Public Library, 39 Keep Street, Madison NJ 07940
or email to webmaster: select all fields and copy to Word - fill in info, save document and send as attachment.

Name of Business:
                  The name should indicate the kind of business it is, using no more than 65 characters, including spaces.

Mailing Address:

                          Madison, New Jersey 07940
Check here ___  if you don't want the address listed on RoseNet.

Telephone:                                                                        Fax:

Contact Person:                                                                E-Mail Address:

Web Site URL:

Please check the categories (no more than four) that describe your business.
If your business needs a category that is not listed, show it here:

                                                                                 Signature of Contact: