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* 1. What is your name and your position title?

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* 2. What is the best email address to connect with you?

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* 3. What is the name of your organization?

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* 4. What is the zip code of your organization? 

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* 5. Please explain the services you provide and the population your organization serves. 

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* 6. How many people does your organization serve every week?

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* 7. Do you work with a food bank? If so, which food bank?

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* 8. If you are working with a local food bank, what type of services do you provide and how often do you provide them?

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* 9. If you are working with a food bank, do they meet your needs? Please explain. 

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* 10. What type of food do you want to receive from Food Dignity®?

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* 11. Do you have industrial freezers and coolers to store food at your organization? If no, do you have space for a freezer and/or cooler?

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* 12. Is there anything else you want us to know about your organization? 

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