Relay Across America    June 20th - August 6th, 2011

*Full Name:
*Street Address:
*City: *State: *Zip code:
*Home Phone: Cell Phone:
*Email:
*Hourly Commitment (Per week estimate):

What is your skill set?

*Tell us how YOU can help!:


*What is your skill set? Check all that apply.

 Writing letters/emails
 Making phone calls
 Fundraising
 Marketing/publicity
 Coaching/training
 Event coordinating
 Graphic Design
 Public Relations
 Photography
 Video Production


*Our goal is to have 5 to 8 core leaders that can commit 3 hours + a week. Then we want to have 40 or more volunteers that are willing to commit 1-2 hours a week.

I would like to be a:
How did you hear about WheelsForWells:

Wheels For Wells is a division of Compassion Corps USA Cycling