How can you help? | RACDC Contact Management System

First Name *

Last Name *

Phone number *

Type of phone *

Home

Work

Cell Phone

Other

Email *

Home address

Preferred method of contact *

Phone

Email

Do you have any special skills, training or resources you can offer to RAMAN or to those in need? (if yes, please explain)

I can volunteer: *

Would you be willing to serve on a team of volunteer coordinators, help to assign tasks (mostly done by email or phone)? *

Yes

No

Maybe

Do you wish to be contacted about donations that are needed to support mutual aid work? *

Yes, I can probably donate

Yes, I may not be able to donate, but I can reaching out to others

I am unable to donate at this time

Other thoughts, concerns or comments?

How did you find out about the RAMAN ? *