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INDIVIDUAL SIGNUP SHEET
Name:
Business or Organization
Name:
Street Address:
Mailing Address if Different:
E-Mail (Work):
E-Mail (Home):
Business Zone:
Home Zone:
Phone Number (Home):
Phone Number (Work):
Fax Number:
Number of Volunteers:
Zone or Work Project Preference:
Fax to 512-321-1313
or email the information to acook@cityofbastrop.org
Mail to: Alan Cook, City of Bastrop, P.O. Box 427, Bastrop, TX 78602
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