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Format: (000) 000-0000.
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- Will you provide health screenings, consultations, or wellness services?*
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- Will you provide giveaway items, brochures, gift bag items, school supplies, wellness items, or community resources?*
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Format: (000) 000-0000.
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- Will you need space for a table?*
- Will you bring your own table?*
- Will you bring your own chairs?*
- Will you bring your own tent or canopy?*
- Do you need electricity?*
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- Are you authorized to submit on behalf of the organization?*
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- Date*
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- Should be Empty: