Cloverdale Community League Snow Shovelling - Householder Registration
What is your first name? *
Your answer
What is your surname? *
Your answer
What is your street address, including postal code? *
Your answer
Is this a single family dwelling in Cloverdale between 92 Street and 96 A Street? *
What's the best phone number to reach you? *
Your answer
This snow shovelling program is open to Cloverdale residents who are over 65 or have physical challenges that make it difficult to shovel show. Do you qualify? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cloverdale Community League. Report Abuse