Contact Form - Peddling Hope Project - Street Barber
Contact Form - Peddling Hope Project - Street Barber
Please Complete the form and submit!
Reason for contact
(Select ALL that apply)
*
Reason for contact
(Select ALL that apply)
I want a Haircut
Donate a Bike to Peddling Hope Project
Become a Sponsor
Other
Other
You can also come see Dana at
Masterpiece Barber College
During the Hours
Monday - Friday 2pm - 6pm
Thank you for your support and helping someone in the community by donating a bike to the Peddling Hope Project.
Name (My Name)
Name (My Name)
*
First
Last
Email
*
Phone
Phone
*
-
###
-
###
####
Address for bike pickup
Address for bike pickup
Street Address
Address Line 2
City
Select a State
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State / Province / Region
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Please include a picture of the bike.
Attach Files
Comments
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Longitude
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Current GPS Location