Name of Organization

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* 1. Name of Organization

Organization's HQ Address (Mainland/CONUS)

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

Organization's PR Address (HQ/Office Address)

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

POC in PR-Contact Information

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* 4. POC in PR-Contact Information

Your Name and Contact Information (If different from above)

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

Timeframe of Project(s)

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* 6. Timeframe of Project(s)

Begin Date
End Date 
Are you participating in VALOR? 

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* 8. Are you participating in VALOR? 

Resources and Services Available

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* 9. Resources and Services Available

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