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Organizational Information

 

Fill out the form below and print it. Then fax to North Carolina Interfaith Disaster Response at 919-838-6981. Thank you. 

 

Organization Name:

Address:

Contact Name:

Phone:

Fax:

Email:

Web:

Mission Statement:

Current Needs:
   
 
North Carolina Interfaith Disaster Response (919) 906-9193 phone (919) 838-6981 fax PO Box 20748 Raleigh, NC 27619-0748