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User ID
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Organization
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Primary Contact First name
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Primary Contact Last name
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Primary Contact Email
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Mailing Address
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City
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State
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Zip Code
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Location (if different from mailing address)
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Agency Phone
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Website
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501 (c) (3)
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Describe services your organization offers (20 words)
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Date deposited
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CONTACT US
Hillary Daniels, President -
hillarydaniels@rmpbs.org
communityimpactcouncil@gmail.com
www.communityimpactcouncil.org
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