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Please complete the following form to have H.E.A.T. contact you regarding your interest in becoming a H.E.A.T. volunteer. View H.E.A.T.'s privacy policy.

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Contact Information:

*First Name:

*Last Name:

*Address 1:

Address 2:

*City:

*State/Province:

*Zip/Postal Code:

*Country:

*Day Phone:

*Evening Phone:

*E-mail:

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I have skills or expertise in (check all that apply):

Database management     Law/legal profession

Desktop publishing     Lobbying/Advocacy

Event Planning     Media relations

Finance     Public speaking

Fundraising     Sales/Marketing

General office activities     Spreadsheet preparation

Grant writing     Word processing

Graphic design     Web site development

Other

I would like to get involved in (check all that apply):

Answering phones in the office     Planning special events

Desktop publishing     Preparing spreadsheets

Fundraising     Speakers Bureau

General office activities     Word processing

Grant writing     Working a booth at events

Inputting information into
a computerized database     Writing copy for a newsletter, brochure, or similar publication

Lobbying     Word processing

Maintaining and updating Web site     Board Member

Other

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