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Community Champions Registration Form

Please enter the following information and submit the form below.

Organization Name *

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Organization Type *

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What need in the community does your organization address, and what does that success look like for those who are served? *

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Organization Website

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Organization Street Address

Organization City

Organization State

Organization Zip Code

Organization Logo

Contact Person *

Contact Person Email *

Contact Person Phone *

Contact us

9001 East 59th Street
Lawrence, IN 46216
Phone: (317) 545-6191
Staff Directory
Utilities: (317) 542-0511

© 2024 City of Lawrence, IN. All rights reserved.

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Contact us

9001 East 59th Street
Lawrence, IN 46216
Phone: (317) 545-6191
Staff Directory
Utilities: (317) 542-0511

© 2024 City of Lawrence, IN. All rights reserved.

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