Register a Need

Person Needing Assistance

Please enter the name of the person in need.



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Please input your phone number.

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Urgency of Need:



Name of Referring Person

    
























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Thank you for participating in the Golden Rule projecct. Please let us know if the program is of help to you. Please read the Need User Agreement below and indicate that you understand.

   • I understand that my participating in the Golden Rule project is voluntary
   • I agree that the sponsors and registered members / helpers are not liable for damages that may occur
   • I understand that there is a chance that my need may not be met and that I will be informed of the status of
     my request
   • I must provide an e-mail and phone number for communication
   • I have read and agree to the Person In Need (Recipient) User Agreement and Disclaimer (above) and agree to the
     Golden Rule Terms and Conditions.

This is required in order to participate in The Golden Rule Project.

Please make a selection. I Agree to the Person in Need Agreement and Disclaimer

   OR   

For more information e-mail Golden Rule Ft Myers
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