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* 1. Organization Name

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* 2. Email Address

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* 4. Is your organization currently a registered Good360 member?

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* 5. What type of relief or support are you currently providing in response to COVID-19? Check all that apply.

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* 6. What product are you currently interested in sourcing for those in need in your community?

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* 7. What is your current receiving capacity?

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* 8. Do you have any comments, questions, or suggestions for Good360?

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