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Military / 1st Reponders Organizations

If your Non-Profit organization help Military Veterans or 1st responders with grief or susbance abuse and would like copies of my book, please complete the following form and someone with be in touch with you.:

Organization Name

Federal ID Tax Number

Organization Website Address

Mr./Mrs./Miss.

Name

Mailing Address (Line 1)

Mailing Address (Line 2)

City

State

Zip Code

Phone

How Many Books Needed

Additional Details

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