Serve Saltillo 2023
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Name
*
Phone
*
Email
*
This address will receive a confirmation email
Shirt Size
*
Please select one option.
S
M
L
XL
XXL
XXXL
YS
YM
YL
Dates Available to Serve
*
Please select all that apply.
May 29th
May 30th
May 31st
June 1st
June 2nd
All Week
Serving Opportunities
*
Please select all that apply.
Pressure Washing
Yard Work
Chainsaw Work
Gardening
Gutter Cleaning
Window Cleaning
Painting
Kitchen
Visiting
Anywhere
Can you provide tools?
Please select all that apply.
Pressure Washer
Garden Hose
Step Ladder
Ladder
Scaffolds
Squeegee
Rake
Shovel
Chainsaw
Weedeater
Payment
Card ($25)
Cash/Check ($0)
Card ($25)
Cash/Check ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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