Hot Mess Express of Kent County, RI Reset Application
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Facebook
Instagram
Recommended by friend
Other
Please tell us a little bit about yourself:
*
Please check all support needs that apply to you
*
House cleaning & organizing
Laundry
Shopping (groceries, medications, etc.)
Other
What's next?
Your application will be processed by the team manager. The time that it takes to organize funds, volunteers, and setting a date can vary and we ask that you remain patient as we do our best to allocate resources to support you! Please feel free to reach out about the status of your application at any time. We may be able to provide you with a more specific time frame.
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