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Organization Information

Name of Organization*
Contact person
Address*
City*
State*
Zip*
Phone*
Fax
E-mail*
Website
Types of services provided *
(women’s shelter, food program, job placement, etc.)
Why is this organization important to you?*
How does this organization assist women and their families?*
How do you think this organization would use our cookware to enhance the lives of the women it assists?*
Do you know whether this organization has a kitchen where they could use our cookware?*

Your Information

Your name*
I am a:*
If you are a Consultant, your ID#
Your phone*
Your e-mail*
* Required Information

 
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