a) Please make the check payable to and mail it to:

Routel for Readington

P.O. Box 180

Three Bridges, 08887 – 9800

b) Up to a $200 donation can be made without being made public

c) The following information needs to be collected for every donation, so please provide this information to the campaign:

1. First Name
2. Last Name
3. Donation Amount
4. Home Address
5. Company (current employer)
6. Work Address
7. Occupation/Title