Community Organisation Survey

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Community Organisation Survey

Community Organisation Details
Community Organisation Name*
Address*
Street Address Address Line 2 City ZIP / Postal Code
Contact Number*
Organisation's Email*
Website
Committee Contacts
President's Name*
First Last
President's Contact Number
President's Email
Secretary's Name*
First Last
Secretary's Contact Number
Secretary's Email
What matters to you
Is there a particular issue you would like me to advocate for?
Do you hold regular meetings? If so, when and where?
Phone
This field is for validation purposes and should be left unchanged.