Alaafia African Family Resource Center
Alaafia is a Registered 501(c)(3). All donations are tax-deductible. Registered No 84-4761643. Hotline 414-432-3555. Email – info@alaafiaafrc.org. Website – www.alaafiaafrc.org.
CRC Business Sponsorship for Sickle Cell Families.
Criteria
Applicant must be living with Sickle Cell or a Caregiver or Have completed a Sickle Cell Transplant. Applicant must be living in Wisconsin.
Are you living with Sickle Cell or Caregiver or Have you completed a Sickle Cell Transplant?
Yes
No
Do you live in Wisconsin?
Yes
No
Your Name
First Name
Last Name
Your E-mail Address
Phone Number
Include Country Code if outside Italy
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a Business or plan to set-up one?
Name of the Business
What do you need most for your business or to start your business?
What Item or Product or Service do you need for your Business?
What day and time are available for an interview?
Signature
Submit
Submit
Clear Form
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