Volunteer Team

Team Contact

Company

Email

Phone

Address

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

ZIP/Postal Code

Project Selection-Please rate your project preference with 1 being the top and 3 being the lowest priority.

Questions	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Salvation Army	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
One Vision-Childrens Autism Center	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
One Vision -Mason City Office	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Mosaic in Northern Iowa	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Charlie Brown West Town	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Charlie Brown-Washington Schoo	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Charlie Brown- Lake Town Location	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Northern Alliance for the Homeless	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
MercyOne North Iowa Hospice	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Crisis Intervention Service	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Community Kitchen of North Iowa	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
YMCA-Mason City	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project
Habitat for Humanity	1-Top Choice	2-Second Choice	3-Third Choice	4-Unable to do this project

Please enter the number of t-shirts needed for each size.

Small

Medium

Large

X-Large

XX-Large

XXX-Large

Please enter any t-shirts sizes not listed above-quantities may be limited.

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