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TimestampWhat is the name of your organization? Web AddressPhysical AddressContact 1: NameContact 1: PhoneContact 1: EmailContact 2: NameContact 2: PhoneContact 2: EmailWhat services does your organization provide currently? What services or assets could your organization potentially provide after a disaster? What might your organization need after a disaster to provide these services? Does your organization have an explicit disaster plan? If so, provide its website or summarize it below. What does your organization do? (Check all that apply)
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4/30/2012 13:33:30Joe's Bike Shop (Example)www.joebikes.caBicycle Sales and RepairNo-Fuel Transportation, Bicycle RepairVolunteers, Bicycles, NoRetail
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