Assistance Form
We are receiving several requests for home repair which we hope to look into soon after our current project is done. Please fill out the following form so we have your information on hand.

In the meantime, we recommend contacting the Council of Aging, or other non profits that provide assistance in your community to inquire about getting free or reduced-cost help with home repairs.
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First and last name: *
Phone number: *
Email Address:
State: *
City / Town: *
Please provide a brief description of the renovations needed:
Please give any other relevant information:
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