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Paani Well Completion Form
Thank you for building a well with Paani! Please fill out this form so we can get started on the construction process. If you need any help, please contact
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Email *
Please provide the link to your LaunchGood campaign. *
Your email address *
How much money did you raise? *
What you would like on the plaque. If you are donating multiple wells, please put each one on a new line. *
Please specify the type of well(s) you would like. *
Eg. 2 Deep KPK Wells
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A copy of your responses will be emailed to the address you provided.
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