Greater Coopersville Area Jaycees Community Survey
Answers marked with a * are required.
Your information
Not all of this information is required. If you want us to contact you with more information, or you would like to sponsor the Jaycees or an event, please fill this out.
Your Name
Your business
Phone Number
E-Mail
Position
Owner
Manager
Employee
Other
If other, please specify.
Your age
<18
18 - 20
21 - 39
+40
Are you interested in more information on the Coopersville Jaycees?
Yes
No
Business Name
City
*
Zip
*
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