, The Mobile Home of SAVE22 – Fighting Veteran Suicide, SAVE22

Stout “Jeebus” Memorial Ride

June 3 @ 10:00 am - 11:00 pm EDT

FORMS

CLICK ON ANY OF THESE FORMS TO REQUEST US TO BE PRESENT AT YOUR EVENT, REQUEST ACCESS TO ONE OF OUR PROGRAMS, OR TO REQUEST TO BE A VOLUNTEER.

Volunteer Request
Program Request
Event Request

BUSINESS CONTACT

CLICK ON ANY OF THESE CONTACT FORMS TO GET IN TOUCH WITH OUR DIFFERENT DEPARTMENTS, WETHER IT BE A GENERAL BUSINESS RELATED QUESTION, AN OUTREACH CONCERN, ASSISTING WITH FUNDRAISING, BEING INVOLVED WITH ONE OF OUR PROGRAMS, OR POTENTIAL MARKETING.

General Inquiry
Outreach
Fundraising
Programs
Marketing

Event Request Submission Form

Event Name *

Event Location *

Event Date *

Event Setup Time *

Event End Time *

Event Contact Name *

Event Contact Phone Number *

Event Contact Email *

LEVEL I - Small space, indoor

10x10 space or larger

SAVE22 will provide information and small merchandise selection. A minimum of two representatives will be on-site.

MC-1, if available, may be on site in parking lot as storage for merchandise and as advertising.

LEVEL II - Medium space, outdoor

20’x30’ minimum space – MC-1 will need space to maneuver, raise a flagpole, and unhook trailer. Truck can then be parked outside of event area.

No overhead powerlines.

Enough space behind merchandise trailer to set up a small canopy for peer-to-peer counseling and quiet area. This is an essential service we provide.

LEVEL III – FULL SET-UP (our most requested!)

30’x100’ space – Full MC-1 display and set-up. Enough room to maneuver, raise flagpole, and canopies for peer-to-peer counseling and quiet time. This is an essential service we provide.

No overhead power lines.

**We respectfully request that we be placed as far away as possible from music, speakers, bands, and other sources of loud noises and congestion including restroom facilities.

Event Level *

Table Provided *

Yes

Chairs Provided *

Yes

Wi-Fi or Cellular Service Available *

Yes

Electric Available *

Yes

Site Map

Choose File

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PROGRAMS REQUEST SUBMISSION FORM

Your name *

Phone number *

Email address *

City *

State *

Zip *

How did you hear about SAVE22? *

Social Media

Website

SAVE22 Event

Civilian Friend

Veteran Friend

What programs are you interested in? *

Fishing Trip - Ohio

Fishing Trip - Carolinas

Golfing Trip - Ohio

Golfing Trip - Carolinas

Art Therapy

Motorsports

Nature Activities

In which branch did you serve? *

Deployment Locations

OEF

OIF

OND

Desert Storm

Desert Shield

Vietnam

Bosnia

Cold War

Grenada

Haiti

Kosovo

Kuwait

Lebanon

Panama

Somalia

None

Do you have a service connected disability? *

Yes

N/A

Do you have any physical or mental limitations related to or unrelated to your service?

What additional assistance do you require?

Please tell us why you would like to be chosen to participate in the program(s) you selected: *

Do you have adequate transportation to and from the destination of your chosen program? *

Yes

Photo and Consent Release: *

Yes, I authorize SAVE22 to use images or video of me.

No, I do not authorize SAVE22 to use images or video of me.

Additional Notes

Contact me via *

Phone

Mail

Text

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Volunteer Request Submission Form

Name *

Address *

Your Phone Number *

Your Email *

Emergency Contact *

Emergency Contact Phone Number *

Skill/Interest/Hobbies

Administrative Support

Grant Writer

Internet/Computer Work

Committee Work

Website Design

Advertising

Photography

Volunteer Coordinator

Fundraising

General Fundraising

Retail/Sales

Number of Hours Available to Volunteer Each Week *

List Any Previous or Current Volunteer Experience *

List Your Employment/Training Background *

Describe your favorite Volunteer or Work Experience *

List the Qualifications, Skills or Talents that you bring to this Position (Sing, Event Planner, Writer, etc) *

Do you have any disabilities that would prevent you from volunteering in specific areas (walking or sitting to long) This will only be used to help you, and not prevent you from helping: *

All Volunteers Must Agree *

Volunteers must be free of any drug or psychoactive substance capable of impairing a person’s physical or mental faculties.

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General Business Inquiry

EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

Title *

MESSAGE

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Business Outreach

EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

Title *

MESSAGE

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Business Fundraising

EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

Title *

MESSAGE

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Business Programs

EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

Title *

MESSAGE

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Marketing

EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

Title *

MESSAGE

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Stout “Jeebus” Memorial Ride

June 3 @ 10:00 am - 11:00 pm EDT

FORMS

BUSINESS CONTACT

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