Service Organization Sign Up ROam Home – A Community Celebration Sign up to become engaged with ROam Home (*) indicates a required field Organization Name* Organization Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Organization Organization Contact Person Name* First Last Organization Contact Person Email* Organization Contact Person Phone*If you have a logo, please upload hereAllowable formats include jpg, gif, png, pdf Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB, Max. files: 2. Please provide a link to your Website Are you planning on attending the Kickoff Celebration on Saturday October 19th (Noon to 3:00 PM)?*ROMS will be supplying tables for the Kickoff Celebration. Yes No Will you need anything else at the Kickoff Celebration? If you intend on having an event during the ROam Home week (Sat Oct 19th through Sun Oct 27th), Please let us know as much of your event details as possible Does your organization intend on having an event during the ROam Home week (Sat Oct 19th through Sun Oct 27th)* Yes No Event Name* Cost of the Event* Event Date* MM slash DD slash YYYY Description of Event*Event Address/Location* Event Contact Phone*Event Contact Information (If different from the organization's contact information used above) To make the event a success, what do you need but don't have that the ROam Home committee can help out with?CommentsThis field is for validation purposes and should be left unchanged.
