Labyrinth & Memorial Garden

Sierra Hospice
"Making Final Moments Matter"

Forget-Me-Not Thrift Store
Supporting Sierra Hospice

Volunteer Application
(Please complete and bring to 684 Main Street, Chester)

Name_______________________________________________________________

Address_____________________________________________________________

City________________________________ State_________ Zip________________

Telephone_________________________________

Cell______________________________________

Days___________________________Hours_______________________________
you are available to work.

What is your area of interest?  ____________________________________________

Do you have special skills to bring to our store?___________________________________________________________________

___________________________________________________________________
          
             Signature                                                                        Date

Back to Forget-Me-Not
 

Sierra Hospice
150 Brentwood Drive  •  P.O. Box 95  •  Chester, CA 96020
Phone: 
530-258-3412  •  Fax: 530-258-3104
email at 
sierrahospice@frontier.com

©Sierra Hospice 2010-2011.  All Rights Reserved.

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