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Thank you for your interest in the Jersey Cares Corporate Service Program. Please complete this inquiry form and we will be in touch with you shortly.

If you have questions about this form, please contact Kathleen McGlynn at kmcglynn@jerseycares.org or call our office at (973) 533-1993.

Contact Information 

The "first name" of the person we will call back regarding this inquiry.

The "last name" of the person we will call back regarding this inquiry.

Ex. (973) 555-5555. This is the number where we will call you back regarding your inquiry.

Only the two character abbreviation please. i.e, NJ, NY, CT, RI, etc.

Project Information 

Please provide your ideal project date. We understand this may change.

A projected numerical number is sufficient.

What type of project are you interested in?

You can list a city, county, region or state.

In 500 characters or less.

Additional Information 

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