Live Rite has received an anonymous donation to give away a free Honda CRV SUV to a single mom in recovery. Please fill out this questionnaire by December 11 to be considered. 

Guidelines to apply:
*full custody of child/children
*valid driver's license 
*proof of insurance at time of pick up
*A story in recovery

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* 1. Your First and Last Name

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* 2. Do you have a valid driver's license?

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* 3. Do you have or are you able to get car insurance?

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* 4. Do you have custody of your child/children?

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* 5. How old is your child/children?

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* 6. Email

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* 7. Phone Number

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* 8. Address (Street, City, State, Zip)

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* 9. How long have you been in recovery?

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* 10. Tell us about your story and why you should get the car!

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