Relay Online Pledge Form

Support our effort to attract 400 new families to the Iowa Lakes Corridor region by 2009. Please complete the form below.

I (your name) pledge to join the Live Work Play Here Relay aimed at attracting 400 new families to the Iowa Lakes Corridor Region by 2009. I recognize that I live in a progressive, beautiful, recreation and art-rich area with quality industry, healthcare and education and I want others to learn about these great opportunities.

Your email address:

Below, please list 3 people who you would like to hear about the opportunities offered in the counties of Buena Vista, Clay, Dickinson and Emmet of the Corridor region. Please remember to check the box indicating that you will contact these individuals or you would like Live Work Play Here Relay volunteers to contact them for you.

Name:	Address:
Email:	How do you know this person:
Who should contact this person: You will Live Work Play Relay Volunteers

Name:	Address:
Email:	How do you know this person:
Who should contact this person: You will Live Work Play Relay Volunteers

Name:	Address:
Email:	How do you know this person:
Who should contact this person: You will Live Work Play Relay Volunteers

Below, you should see scrambled text. Enter the text you see in the box below the image. If you do not see the text, please contact us.

Verify the text in the image above: