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Pamela Gonzalez
(850) 231-0399
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Cooking Toward A
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Organization Information
Name of Organization
*
Contact person
Address
*
City
*
State
*
APO/FPO South America
APO/FPO Europe & Africa
Alaska
Alabama
APO/FPO Asia & Pacific
Arkansas
American Samoa
Arizona
Bermuda
California
Colorado
Connecticut
District of Columbia
Delaware
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Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Lousiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
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Northern Mariana Island
Mississippi
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North Carolina
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New Jersey
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Puerto Rico
Palau Island
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Virginia
Virgin Island
Vermont
Washington
Wisconsin
West Virginia
Wyoming
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?
*
Yes, they have a kitchen
No, they don’t have a kitchen
I Don't Know
Your Information
Your name
*
I am a:
*
Hostess
Customer
PH Employee
PH Organizer or Consultant
Nonprofit Organization Employee
Other
If you are a Consultant, your ID#
Your phone
*
Your e-mail
*
* Required Information
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