Gift of Life Community Action Network (CAN) Membership/Interest Form

Thanks for you interest in becoming a member of our Community Action Network (CAN). Membership is voluntary and is reaffirmed annually. We encourage a diverse group of individuals and ideas for membership in this group. For more information, contact Mona Davis, GOL CAN Coordinator at (334) 399-0158 or email mdavis@golfound.org.

Name

First Name

Last Name

Email

Employment Sector

Select which best describes your organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special Skills & Interest

Indicate what areas you'd like to Contribute to the CAN

Event Planning

Set-up/Take Down at Events

Community Outreach (Weekends)

Recruiting Volunteers

Donating Meeting Space

Securing Sponsorships

Social Media/Graphic Design