The Keeler2006 Contribution Page

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Submitted by admin on Fri, 04/07/2006 - 1:52pm.
Thank you for contributing to The Friends of Brian Keeler and for a NEW New York. If you'd rather send a check please send to:

Friends of Brian Keeler,
827 Route 82
Suite 303
Hopewell Junction, NY 12533

Name:
Occupation: (required)
Employer: (required)
Address:
Phone:
Amount: $
Please check to meet contribution requirements:
This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.


Thank you for your contribution.