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Volunteer Sign-Up Form

For more information about volunteer opportunities before you sign up, please visit the volunteer job descriptions page or contact Community Development Manager Klaire Kiehne at: 713-526-8967 x2241 or kkiehne@nmsslonestar.org.

Fields marked in red are required.

First Name:
Last Name:
Gender:	Select OneMaleFemale
Address:
Address 1:
City:
State:
Zip code:
Email:
Cell Phone:
Home Phone:
Work Phone:
Employer/School:
Last year I . . .
I would like to help with . . .
T-shirt Size:	Select OneMediumLargeX-LargeXX-Large
Can the chapter add you to the MS mailing list:	YesNo
Are you volunteering individually or as a group?	IndividualGroup
Which group?
Do you want to raise funds for the event?	Select OneYesNo
Are you willing to travel?	AnywhereHoustonLa GrangeAustin
Please let us know if you have any special needs:

The National Multiple Sclerosis Society is dedicated to ending the devastating effects of multiple sclerosis.

Copyright 2007 National MS Society, Lone Star Chapter.
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