1. Ag Reading Hour Volunteer Sign Up

  2. First Name(*)
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  3. Last Name(*)
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  4. Email(*)
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  5. Phone Number(*)
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  6. County(*)
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  7. Address(*)
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  8. Organization Name
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  9. School You Plan to Read to:(*)
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  10. How would you like your book delivered?


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    (A $5 donation is suggested to help cover the cost of mailing the book. A donation button can be found after the survey)
  11. Additional Comments
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