Question Title

* 1. How can we better serve our customers?

Question Title

* 2. In what ways are you willing to help or participate?

Question Title

* 3. Are you aware of any community or faith based organizations that are willing to help or participate. If so, would you be willing to share that information with us?

Question Title

* 4. Would you be willing to assist by: (mark all that apply)

Question Title

* 5. If you checked other above, please explain:

Question Title

* 6. We would greatly appreciate any comments you wish to share regarding this proposal?

Question Title

* 7. Name (optional)

Question Title

* 8. Contact me at (optional)

T