MADD 2021 Request for Service Form

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This is the Make A Difference Day service request form.The deadline to complete this form is Friday, October 1, 2021.

If we are able to service your request, we will call you with a confirmation by Wednesday, October 13, 2021. As a friendly reminder, this is a free service provided by Northern Michigan University students voluntarily. We will accommodate as many requests as possible.

If you have any additional questions, comments, or concerns, please feel free to contact us at volctr@nmu.edu or 906-227-2466.

Email *

Resident's Name *

Service Site Address *

Phone Number to Confirm Registration *

Are you filling out this form on behalf of someone? *

Yes

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