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Notice: Marin County Teleservice does not maintain any of your personal information on this website. The information entered on this form is used soley for the purposes of generating an e-mail message to the appropriate contact person and then discarded.

Marin County Teleservice Form: Please fill in the relevant fields below.

First Name: Last Name:
Email: At least 6 months?:
Daytime Phone: Evening Phone:
Mailing Address:
City: State:    Zip:

Marin County Teleservice answers the 499-0400 information line 6pm - 6am on weeknights and 24 hours on Saturdays, Sundays and holidays.

Commitment Categories & Shifts: (please check all you may be available for.)
(Please click a link below for a description. Description opens in PopUp window.)
Primay:   Backup:    12-Step Worker:
Shift Days: M  T  W  TH  

F  S  SU 		Shift Times:
Weekdays:
6pm-10pm 10pm-6am
6am-10am

Weekends:
10am-2pm 2pm-6pm
6pm-10pm 10pm-10am
If there are specific days and/or times you are not available or if you have any other comments or questions please include them below:

Contact us via email:
Teleservice Chairperson
Mailing & Box Coordinator
Webmaster

Mailing Address:
P.O. Box 2458
San Rafael, CA 94912-2458