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Sign-up Sheet for Van Drivers

Full Name:  
YOUR Phone Number:          xxxxxxxxxx format

I would like to Volunteer because:

  • I have an expired license and miss driving things:

  • My spouse won't let me drive the family car:

  • I have real thick glasses and 20/2000 vision:

  • I love helping little old ladies cross streets and climb stairs:

  • I am still using my Learner's Permit:

  • I don't have a license but I Love to drive:

  • I can only drive a stick but willing to learn to drive one of those new-fangled things:

  • I am over the point limit but I still drive:

  • I'm over 90, my license has been pulled and I don't remember why.  Sign me up:

  • As soon as I get my parole, I'd like to drive - Long distances:

  • None of the above.  I want to help and be the best driver you have:

YOUR E-Mail Address:  
For spam control enter the letters "HSARC":

Asbury's privacy policy promises:

  •  Any Information provided will NOT be used for any other purpose than to get you to Volunteer.

  • We will NOT give your e-mail address to anyone or any group, individual or neighbor or DOT.

  • We will NOT use your mailing or e-mail address as a means to send you literature or information.

  • We will not give your address to another UMM member without your express permission.

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Revised: September 04, 2011

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