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* 1. Organization Name

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* 2. Country of Origin

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* 4. City and state/province of the organization's headquarters location

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* 5. Does the organization have a board of directors, steering committee or advisory council that meets several times each year to establish goals and action plans, measure progress, approve an annual budget and monitors expenditures?

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* 6. What is the organization's annual budget?

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* 7. Does the organization have affiliates, regional sub-groups or local support groups?

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* 8. Is the organization a member of another Federation or an affiliate of a national or regional coalition?

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* 9. Organization’s website URL

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* 10. Organization’s Facebook Page URL

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* 11. Organization’s Twitter Page URL

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* 12. Primary Contact Person's Name

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* 13. Primary Contact Person's Email Address

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* 14. Additional Contact Person's Name

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* 15. Additional Contact Person's Email Address

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