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Kansas City 2016 Volunteer Survey

1. Name and address info

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Name:

 

 

 

 

       

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*

 

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City/State/ZIP:

 

    

 

 

 

If you respond and have not already registered, you will receive periodic updates and communications from Lupus Research Alliance.

 


*2.
Question - Required - Please select which volunteer position(s) you would like to volunteer for and we will try to accommodate you:

*3.
Question - Required - Please indicate if you plan on walking or if you can stay to help after the walk starts:


4.

(Maximum response 255 chars, approx. 5 rows of text)

 

 

For more information, contact Leslie Crouch at lcrouch@alr.org 
or 1-312-560-6709

You may also call us toll free at
 1-866-WALK-ALR.

   Please leave this field empty