Organization Information:
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1. Organization Name:
*
2. If USCGA,List the following:
District:
Division:
Flotilla:
3. Water body served:
*
4. Year organization was established(YYYY):
*
5. Number of paid staff:
*
6. Number of volunteers:
*
7. Organization's annual budget:
*
8. Is your organization a non-profit 501(c)(3):
*
Yes
No
9. Organization's Web Address:
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