HOME REFERRAL FORM Name * First Name Last Name Email * Phone * (###) ### #### Message * How Did You Hear about Us? * Please provide one or two sentences about how you heard of Taking Ownership PDX. Radio * Please check as many of the following as needed Construction Landscaping Painting Demolition Plumbing Waste Removal Electrical Repair Interior Design Thank you for submitting a home referral with Taking Ownership PDX, a grassroots organization providing FREE repairs to Black-owned homes and businesses in Portland. You are now on our waitlist and will be contacted within 2 to 4 weeks to gather more information about your circumstance and needs. Please be patient as we raise funds and gather resources to continue this work for Black home and business owners in Portland, Oregon.