Name:

E-Mail:

Phone:

YES, I would like to get involved with improving my community. Here is how:

I can give hours per week. Please have someone contact me.

I am most interested in the following:

Contacting people by phone

Organizing local events

Serving on local project teams

Working events or tables

Other

Mailing Address (if different):
City: State: Zip:


Occupation:

Employer:

Comments: