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Information for a RoseNet Listing - Not-for-Profit 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 Organization:

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 three) that describe your organization. If your organization needs a category that is not listed, show it here:
 

__ Arts
__ Community
__ Counseling
__ Culture
__ Education
__ Environmental
__ Family
__ Health
__ Local History
__ Museums
__ Music
__ Political
__ Religion
__ Senior
__ Service Club
__ Social
__ Sports
__ Veterans
__ Youth

If  you don't yet have a web site, please provide additional information for your listing:

Mission:

 

Hours of Operation:

Description: (no more than 200 words)

 

 

                                                        Signature of Contact: