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* 1. Name of Organization

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* 2. Organization's HQ Address (Mainland/CONUS)

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* 3. Organization's PR Address (HQ/Office Address)

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* 4. POC in PR-Contact Information

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* 5. Your Name and Contact Information (If different from above)

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* 6. Timeframe of Project(s)

Date
Date

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* 7. Current Projects & Locations (For each of the services, please complete one line)

  Location Type of Work
Project 1
Project 2
Project 3
Project 4
Project 5
Project 6
Project 7
Project 8
Project 9
Project 10
Project 11
Project 12
Project 13
Project 14
Project 15
Project 16
Project 17
Project 18
Project 19
Project 20
Project 21
Project 22
Project 23
Project 24
Project 25

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* 8. Are you participating in VALOR? 

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* 9. Resources and Services Available

T