Rock & Wrap It Up! Hungerpedia - Agency Vetting Form
Please complete the form and submit when completed. If you have any questions, contact Jessie Plotkin, RWU National Asset Recovery Manager, at 516-509-6136 . Please note that the answers to questions numbered 1-5 must be Yes for your organization to qualify.
Today's Date *
MM
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DD
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YYYY
Organization Name *
Your answer
Address *
Your answer
City *
Your answer
State/Province *
Your answer
Zip/Postal Code *
Your answer
Country
Your answer
Phone Number *
Your answer
Contact Person *
Your answer
Email Address *
Your answer
Hours
Your answer
Website
Your answer
Notes (please add any extra information donors should know about your agency)
Your answer
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