"You've Been Flocked"

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Friends of Rockville High School Music Fundraiser.

Your first and last name *

Your email address *

Your Phone Number *

Name of person/people to be "flocked" (PLEASE let your friend/family know that he/she/they will be flocked.) *

Physical address of person/people to be "flocked." We cannot flock public areas or apartment complexes. Also, all locations to be flocked must be within Rockville city limits. We reserve the right to not flock someone if the distance is too far from Rockville HS. *

How many flamingos do you want to go in your friend's yard? *

10 for $15

20 for $25

PAYMENT: Payment can be made by PayPal or check. Please select the option below. *

I will pay via PayPal: paypal.me/RHSFORM (please note on your payment that it is for "Flamingos") (Please cut and paste paypal link into your browser)

I will mail a check to: J. Pesanelli, 14423 Barkwood Dr, Rockville, MD 20853

I will place a check/cash in the envelope on the Flamingo sign in our yard.

I would like to donate an additional amount. (include additional amount in your check or in your Paypal payment.

I will put a check in Mrs. Sherlock's mailbox at RHS.

Other:

Required

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