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Mitzvah Party Home Repair Application
Fields marked with
*
are required.
Volunteers must be 14 years and older.
Name of Group/Organization
*
Contact Person
*
Home Phone
*
Work Phone
Cell Phone
Street
*
State
*
Please select a state
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
District of Columbia
Florida
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Idaho
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Louisiana
Maine
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New Hampshire
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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Wyoming
Zip
*
Email
*
What date(s) would the group like to work?
*
How many day(s) would the group like to work?
*
What type of house would your group like to repair?
*
Heavy/Moderate House needs painting, carpentry, electric, drywall, etc.(supplies can cost $1000-$2000)
Light House needs painting, small amounts of carpentry, some drywall (supplies can cost $500-$1000)
Number of Volunteers
*
Number of Skilled Volunteers
*
Describe Skills
Is this for a special occasion? (Bar/Bat Mitzvah, birthday, etc.)
*
No
Yes
If Yes, what?