1.Which of these best describes you?

Chamber Business

Non-Chamber Business

Gresham Resident

School

2.Your Business/School/Church Name 

*3.Your name and contact information (phone, email, etc)(Required.)

4.Did you participate in the Adopt-A-Cop Program last year?

Yes

No

5.Can we contact you in regards to helping to support this program in one of the following ways:

Donating money to the annex project

Fundraising for the annex project

Volunteering my time to the annex project

Donating resources to the annex project (construction or remodel materials, exercise and/or wellness equipment, other project supplies)