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Volunteer Assistance

2. First Name
3. Last Name
5. Business Name
7. Email
8. Daytime Phone
9. Fax
11. Address
13. City
14. State
15. Zip Code
17. Area of Expertise / Skills I Have to Offer
    Also please include skills such as Electrician, Plumber, Carpenter, etc.
19. Availability
    Time of Day
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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