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* 1. Please provide a contact

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* 2. Please provide the name of your organization

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* 3. Please describe the mission of your organization.

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* 4. What is the address of your organization?

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* 5. How many backpacks are you requesting?

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* 6. Do you have space to store the backpacks?

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* 7. Do you have a way to pick up the backpacks?

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* 8. If you answered 'No' to the previous question, please describe how you plan to arrange the pickup.

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* 9. Have you received backpacks from UWPC's Backpacks 4 Kids drive before?

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* 10. If you answered yes to the previous question, please share how many backpacks were received.

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* 11. When would you need the backpacks by?

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* 13. Please provide a contact phone number

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