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I would like to make a donation to (Rockdale County)

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U.S.A. forms for Rockdale County

BROWSE ROCKDALE COUNTY (GA) FORMS

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1240 Dogwood Drive ~ Conyers, Georgia 30012
www.rockdalecounty.org
Rockdale County Center: 770-922-4633
Senior Services Fax: 770-785-2492
Olivia Haydel Senior Center
DONATION FORM
ٱ I would like to make a donation to the Rockdale County Senior Services Center.
Please designate my donation to the following:
Meals-on-Wheels
Olivia Haydel Senior Center
Senior Transportation
Congregate Meals
Homemaker Services
Respite Services
The Olivia Haydel Memorial Fund
Home Repair
Senior Nutrition and Wellness Programs
Other:
Donor Name:
Company Name (if applicable):
Address:
Phone Number(s):
Donation Amount: $
I would like my donation to be made:
(Optional)
In memory of:
In honor of:
In-kind donations are also accepted. For more information about in-kind donations accepted, please
contact the Center at 770-922-4633.
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I would like to make a donation to (Rockdale County)

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Completed 6 August 2020

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