East Sooke Together - Client Intake
Email address *
Preferred First Name
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Phone number and email
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Preferred contact, email or phone? If possible, email is a little easier for us. *
Your closest neighbourhood *
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How can we help? REMEMBER: Do not share your personal bank or debit information with anyone. *
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Is there anything else you would like to tell us?
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By clicking SUBMIT you agree to your data being stored by the volunteer group East Sooke Together (EST)*, for COVID-19 aid purposes only. Please indicate your consent for data sharing within this group. You may withdraw consent at any time by emailing EastSookeTogether@gmail.com or leaving a message including your name and phone # at 778-400-5442. (*EST is sponsored by the East Sooke Neighbourhoods Association.) *
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