Request a Care Connection

Please enter your request carefully, limiting odd punctuation and such. Pasting from other applications (i.e. copy/paste) is not recommended. You must enter at least your name and valid email address for yourself or the request will fail. Contact Ted Nesse or use the 'Contact Us' form at sunrotary.org for help.

Please enter the first name of our club president, for verification (challenge question)

Club President First Name (required):

Requestor Name (required):

Requestor Email (required):

Requestor Phone:

Do you have permission to share this need with the entire club (yes/no)? (required):

Name of person with the need:

Please describe the need (255 chars):

Would the person welcome contact from club members (yes/no)?:

Best way to contact the person if so (255 chars):

Are there other needs? (255 chars):

Anything else? (notes):

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