PVSD 2021 Service Provider sign-up


Information provided on this form will be used to obtain demographic information and will be shared with service providers at this stand down and with governmental agencies. Providing this information is voluntary and will be considered as authorization to share your personal information with the PlacerStand Down Committee, Placer County Veterans Service Office and other agencies or organizations that would require this information to conduct official business in line with the services provided at this Stand Down.

For questions or comments, please email serviceproviders@placerveteransstanddown.org
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Your name *
Names of others attending *
Please include names of everyone on your team. This is required for Megan's law checks.
Job title *
Organization *
Phone *
Email *
When will you be there? *
Need access to electricity? *
Have you served in the military? *
Questions / Comments
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