Madison Co. Supply Delivery Volunteer Signup

Welcome to the Rural Organizing and Resilience Volunteer sign up form for Coronavirus response support in Madison County. To start our primary focus will be delivering necessary supplies to those who cannot leave their homes. As this crisis unfolds we may expand what kind of services we will be looking to provide to meet the needs that arise. Thank you for signing up to support your community in this time of need. By building community and working together we can weather this storm together in a safer and more secure manner. If you have any questions or are having trouble with this form email us: ruralorganizingandresilience@gmail.com
First Name: *
Last Name: *
Email Address: *
Phone Number: *
Can you receive text messages?
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(Our primary means of communication at this time will be through email, with possible text blasts for urgent needs.)
What part of the county do you live in? (Shelton Laurel, Big Pine, Hot Springs etc). *
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