Nominate a Kenosha Volunteer to Win a New Roof!
Submissions due by May 31, 2023
Your Name
*
First Name
Last Name
Your Phone Number
-
Area Code
Phone Number
Your Email
*
example@example.com
Nominee's Name
*
First Name
Last Name
Nominee's Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization(s) where Nominee Volunteers:
*
Why does this volunteer deserve a new roof?
*
What would a new roof mean to this volunteer?
Please verify that you are human
*
Submit
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