#AFC Package Partner Request Form
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Email *
Type of Request? *
Representative (requesting/receiving party) *
Contact Email *
Organization Name
Church Name
Senior Building Name
Event Name
Event Date
MM
/
DD
/
YYYY
Delivery Address, City, State, Zip *
Contact Phone *
Number of #AdvanceFolk Care Packages Requested *
Thank you for requesting #AdvanceFolk Care Packages! One of our volunteer staff members will reach out to you within 72 hours to confirm and finalize your request. If you have any immediate need, please email us at info@openarms101.org after you submit this form and we will contact you as soon as possible.
A copy of your responses will be emailed to the address you provided.
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