BLUE FAMILY First 52 Contact Form
I look forward to supporting law enforcement men and women and their BLUE families as they grieve. I just need a little information.  

By completing this form, you are expressing interest in offering the BLUE FAMILY First 52 program for your law enforcement community as an exclusive benefit in order to improve accessibility to grief support.  There is NO LONG TERM COMMITMENT for you as an organization to offer this benefit.  Your commitment to the program includes:
- a link with a description on your organizations website  
- communicate the benefit with your community

YOU DECIDE... to offer a 30% community discount as a resource for your Law Enforcement Professionals and families OR offer to pay for the program for your bereaved folks at that same 30% discounted price.  It's your choice.

After you submit the completed form, you will receive an email to the address you provide with information about next steps.  Please check for an email from Julie@ChartreuseCenter.com Subject: Blue Family First 52  (You may need to check a spam or junk file).  You will receive a phone call to confirm your request.

Please know your information with NOT be shared with any third-party entities.
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Email *
Type of Law Enforcement Organization *
Required
Department, Agency or Organization Name *
Address (Street City, State Zip) *
Contact First & Last Name *
Contact Title *
Phone Number *
Most communication will be through Email.  If necessary, when is the best time to reach you by phone? *
Required
Website (ie. https://website.com) *
I understand that there is NO LONG TERM COMMITMENT to my department, agency or organization to offer the BLUE FAMILY First 52 exclusive benefit.  My department, agency or organization agrees to communicate the benefit to our law enforcement families. I understand that I have determined my department, agency or organization's participation terms within this form and will continue communication to complete the process to participate in the partnership program. *
Required
At first glance, I anticipate to *
Please include organization on Chartreuse Center's website and promotional materials regarding participating in BLUE FAMILY First 52. *
Required
Thank you for your interest to participate in the First 52 Community Program.
You will receive an email from Julie@ChartreuseCenter.com with the Subject: BLUE FAMILY First 52 Partnership.  Please watch for the email (you may want to check your junk or spam if you do not see it within the hour.) This email will have some important information for you about next steps.  After verification of your department, agency or organization, you will receive another email that includes:
- welcome note to the program.
-description of the next steps in the validation process to confirm your organization.

After Validation, we will discuss your next steps.

If you are interested in offering a 30% Community Discount, you will receive:
-a specific discount code to share within your organization.
- a couple sentences and a link to add to a resource page or share in your communications within your organization.
-an image to include on your website if you'd like to share that you are offering the program for your organization.
-a flier to copy, email or share with your organization.

If you are interested in purchasing the program for your bereaved, we will further discuss options for you.

If you have questions or need further information, feel free to call toll free at 800-484-5751 or email Julie@ChartreuseCenter.com
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