Thank you for registering for the Northern Michigan AmeriCorps Russ Mawby Signature Service Project taking place on May 19, 2018, 9:00 a.m. to 3:00 p.m. in East Jordan, MI. 

Fill in the information below by April 21, 2018 to ensure an event t-shirt. 
If you have any questions about the event, please contact Alison Mellon at 231-547-9947 or 
An email with event details will be sent to the email listed a week prior to the event. 

* 1. First name:

* 2. Last name:

* 3. Mailing address or PO Box:

* 4. City:

* 5. State:

* 6. Zip Code:

* 7. Email address:

* 8. Telephone Number:

* 9. Are you affiliated with a business, organization or group? Please list that here (e.g., your AmeriCorps Program, AmeriCorps Alum, City of East Jordan, Lions, Rotary, East Jordan Public Schools, community volunteer, etc.).

* 10. T-shirt size - AFTER 4/28/18 A T-SHIRT CAN NOT BE GUARANTEED!!!

* 11. Lunch Option (please chose 1): AFTER 5/4/18 A LUNCH CANNOT BE GUARANTEED!!!

* 12. Provide an emergency contact NAME and PHONE NUMBER.