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Black Psychedelic Equity Fund Request
*If your therapist / facilitator is underground, please let me know and I'll contact them on an encrypted platform.
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Your Name (First / Last)
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Email
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Phone #
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Name of the therapist & contact information
Your answer
Retreat / Event name, contact information and date
Your answer
Educational Program / Training name, date(s) & contact information
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What amount do you need?
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Are there any related expenses that you need support with? (ex: travel, lodging etc.)
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