Cooking with Leadership Rockland

Cooking with Leadership Rockland

Please join us for the event on May 8, 2025 from 6:00 PM- 9:00 PM.
Contact Information
Contact Name:

First NameLast Name
Email Address:
example@example.com
Mobile Number:
Please enter a valid mobile number.Format: (000) 000-0000.
Do you have a food allergy?
Please list your food allergy
Will you have a guest with you?
Guest Name

First NameLast Name
Guest Email Address:
example@example.com
Mobile Number:
Please enter a valid mobile number.Format: (000) 000-0000.
Do your guest have a food allergy?
Please list your guest's food allergy

Payment Information
I am submitting my payment by:
Total Amount Due (Check/Venmo)
Total Amount Due (Credit Card)
Checks should be made out to: Leadership Rockland and mailed to PO Box 459, New City, NY 10956.

As soon as we receive your payment, we will email you confirmation that payment has been received. Thank you!
Venmo payments should be directed to: @LeadershipRockland

As soon as we receive your payment, we will email you confirmation that payment has been received. Thank you!

USDCredit Card Amount Due (Plus Processing Fees)

Contact Information