Deerfield Valley COVID-19 crisis volunteer signup

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For residents of Southern Vermont's Deerfield Valley, you can use this form to get on a list to help neighbors in many ways. As we identify needs, you will be contacted. We are all in this together! Photo credit for the above: Nicki Steel (http://nickisteel.com/)

Email *

Name (first and Last) *

Phone Number *

Alternate phone Number (indicate C for cell)

Town of Residence (we will try to keep things as local as possible, neighbors helping neighbors!) *

Group affiliation: are you a member of, or do you volunteer for any of the following groups?

Lions

Rotary

SASH

Food Pantry

Other:

Clear selection

Best way to contact you *

Phone

Text

Other:

Second best way to contact you

Phone

Text

Other:

Clear selection

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