| * First Name: |
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| * Last Name: |
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| * Address: |
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| * City: |
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| * State: |
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| or * Province: |
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| * Zip/Postal Code: |
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| * Country:
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| * Gender |
Female Male |
| * Date of Birth: |
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| * Email : |
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| * Home Phone: |
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| Work Phone: |
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| *T-shirt Size: |
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Can you drive a van? You do NOT need a special license, credit card, or insurance. You DO need a valid U.S. driver's license and you must be at least 21: |
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Can you drive a small truck? You do NOT need a special license, credit card, or insurance. You DO need a valid U.S. driver's license and you must be at least 21: |
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Can you drive a large truck? You do NOT need a special license, credit card, or insurance. You DO need a valid U.S. driver's license and you must be at least 21: |
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Are there other volunteers you want to work with? Enter their name(s) here. (No guarantees but we'll do our very best).: |
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| *I understand that I needed to register for the ride at http://tinyurl.com/647jhvr. (Your volunteer password is: 08103): |
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Comment (eg: who you'd like to work with, or, list second volunteer choice): |
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