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Unfortunately you will not be able to complete this form and submit it from your computer.  You have several options: print the page, complete the form and drop it  off at Brian Riley's (Farmers Insurance Office downtown next to the Rochester Cafe), mail it to the Rochester Park Association, P. O. Box 1266, Rochester, WA 98579, or click here which will open a blank e-mail where you can type in the information asked for on the form above and then press send to e-mail the information to the RochesterPark@hotmail.com  address. 

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