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Giveaway Entry Form
Re-Bath and United Way are looking for your help to give a Veteran in Bay County a Remodeled Shower!
Proof of Veteran status required upon being chosen*
If chosen, the Veteran must allow photography and in-home videos.*
No Rental Properties*
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Your Full Name
*
Your answer
Your Phone Number
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Your answer
Your Email
*
Your answer
Relationship to Veteran
*
Your answer
Veteran's Full Name
*
Your answer
Veteran's Phone Number
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Your answer
Veteran's Address (Please include street, city, zip code)
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Your answer
Veteran of
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U.S. Air force
U.S. Navy
U.S. Army
U.S. Marines
U.S. Coast Guard
Tellus about your Veteran and why he/she is in need of having their tub/shower remodeled.
*
Your answer
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