Rescue North Korea Support Form
Support Type (Please don't change this line)
First name as it appears on your passport.
Last name as it appears on your passport.
Country of Residence
Phone number including the area code. i.e. 123-456-7890
Please input a valid email so that we can contact you later.
i.e. facebookid(Facebook), twitterid (Twitter)
I want to receive...
I don't want to receive any.
Please choose one of the support you want to offer. If you want to do more than 2, fill this form again with different option.
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