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Rogerson Communities Printable Donation Form

Please fill out this form and then print it out. Mail the completed form with your contribution to:

Rogerson Communities
One Florence Street
Boston, MA 02131
Telephone: (617) 469-5800

Please accept my contibution to Rogerson Communities:

$

$1,000

$500

$250

$100

$50

A check payable to Rogerson Communities is enclosed.

Please charge my:

Discover

Amex

Visa

MasterCard

Card Number:

Expiration Date:

Name:

Signature:

Street:

City:

State:

Zip:

Telephone:

E-mail:

This gift is in honor memory of:

Please send acknowledgment of this gift to:

Name:

Street:

City:

State:

Zip:

I am interested in receiving information about making
a bequest to Rogerson Communities.

Your gift is tax-deductible to the full extent allowed by law.