Lev Detroit Contact FormBruce Hakala2023-09-21T11:39:44-05:00 Lev Detroit Contact FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *CityHome PhoneCan we leave a message on your home phone? *YesNoCell Phone *Can we leave a message on your cell phone? *YesNoI prefer to be contacted by? *EmailHome PhoneCell PhoneNo preferenceThe best time to reach me is:8:00-11:00am11:00am-2:00pm2:00pm-5:00pmWho are you seeking services for? MyselfSomeone ElseIf you answered "myself":Please tell us about your current situation and needs at this time.If you answered "someone else":Please tell us what you can about their current situation and needs at this time.NameSubmit