DFW India Group Information Form
Please fill out this form for your Drug-Free World, India Group. You only have to fill it in once, but if any of the information changes, such as you have a new shipping address or add/remove group members, be sure to send us the update.

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Your Name
Position in the Group *
Group's Name
The Main Purpose and/or Activity of the Group
List names and posts of all Group Members *
List the emails of the Above Group Members who are DFW qualified members *
Group's Shipping Address: *
Ship To Name:
Street Address Line 1: *
Street Address Line 2: *
CITY:
STATE/PROVINCE:
POSTAL CODE:
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