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Partnership Interest Form

Welcome to Birth it Forward! We are honored that you have shown interest in a potential partnership. Please fill out the form below to get started.

Your name *

Organization name *

Your email *

Your phone number *

Your Title *

Year organization was established

Organization's Mission and how does it align with BIF? *

Organizations Values?

What do you expect to give to this partnership? *

What do you expect to receive from Birth it Forward from this partnership? *

How closely would you like to work with BIF?

How long would you like for this partnership to last? *

Long termShort term

Do you have the authority to establish a partnership for your organization? *

YesNo

Authority person's contact information

Name *

Email *

Phone number *

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