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Required Fields
Thank you for taking the time to refer a potential CARES Team. Please provide us with as much information as possible. If you are a current or former CARES Team, you may qualify for a referral reward if the team is placed on a property as a CARES Team.
Your First Name
Your Last Name
If you are part of a team and would like to split the credit for this referral, enter the second team member's name here:
Second First Name
Second Last Name
Are You a Current or Former CARES Team? Yes No
If Yes, What Metro Area? Atlanta Austin Denver Dallas-Fort Worth Houston Phoenix-Flagstaff San Antonio
If Yes, What Property?
Your E-mail Address
Your Street Address
Your City
Your State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Your Zip Code
Prospective Team
Please provide the following information for the team you are referring:
First Team Member:
Second Team Member:
Phone Number:
E-mail Address:
Street Address:
City:
State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Have you already talked to them about being a CARES Team? Yes No
If so, please give a brief description of your interaction with them:
Relationship Church Member CARES Volunteer Relative Friend Resident
Reference Code (only if you were given one!)