Complete this form and click 'Submit' at the bottom of the form. You should receive a copy of your submitted form to the email address that you supply. Any required fields have a '*" next to them. The form will not let you click Submit until all these fields are completed. Check through the form for anything highlighted in red if you are unable to submit. If you have any questions or problems with the form, you can email email@example.com (anytime) or text/call Tim Pokelsek (330)352-2506 or Jerry Dolson (330)701-5174 for more information.
Join the Remind via app at @cru19 or text @cru19 to 81010