Nonprofits Give Back Interest Form

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Thank you for your interest in giving back to the Fibromyalgia community. This is a collaborative effort among Fibromyalgia advocates, caregivers, nonprofit organizations, and donating businesses. After you fill out this interest form, we will contact you to go over details. Website: fibrofriends.org
If you have additional questions, please contact melissa@supportfibro.org

Does your nonprofit provide services to the Fibromyalgia community? *

Yes, we specifically serve Fibromyalgia

Yes, we service Fibromyalgia and other chronic conditions

We are a nonprofit organization but provide other services

Required

Are you willing to give and receive donation dollars for this program? *

Yes

Maybe

Other:

How would like your nonprofit organization to be involved? *

Do you run support groups? *

Yes

Maybe

Contact info

We will need a mailing address for mailing or using delivery services.

Your name *

Phone number *

E-mail *

Mailing Address For Shipping & Deliveries

Preferred contact method *

Phone

Required

Add Your Website or Social Media Handle

What sparked your interest in getting involved?

Any other questions or comments?

Submit

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