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Please fill out the fields below. Required fields are marked with an *

Organization Name *
Address c/o or supplemental title
Address number and street name
City, Town and District * please choose 'Other & Non-Local' if your location is outside of the Kootenays or not listed
Province *
Postal Code   *
Telephone     *omit the '1' if 1-800. please add secondary telephone numbers to the Contacts or Comments section
Email general email
Hours of Operation please indicate your operating hours
People Served please indicate the specific demographic assisted by your group
Description of Programs & Services *a description of your organization; be sure to include paragraphs
Funding Sources please indicate your sources of funding if applicable (not required)
Volunteer Opportunities? Yes No  *
Comments miscellaneous helpful information not addressed by any other field on the form
Contact Name *a contact person
Title title
Telephone     *contact telephone
Email *contact email
Comments add in secondary contacts or alternative phone numbers
  *please choose those categories which best represent your organization's areas of interest
  Addiction, Alcohol & Drugs
Advocacy & Activism
Arts & Culture
Business Information & Assistance
Child Welfare
Community Outreach
Community Planning & Development
Community Program Sponsors
Corrections & Rehabilitation
Counselling, Therapy, Psychiatric & Mental Health
Day Care
Education & Training
Emergency & Disaster Relief
Employment & Careers
Financial Assistance & Information
Free/Low Cost Goods & Services
Funding Assistance & Information
Gay & Lesbian
Homemaking & Home Care
Housing & Accommodation
Legal Assistance
Medical Care, Hospitals & Clinics
Museums & Public Libraries
Music, Fine & Performing Arts
News & Media
Other & Non-Local
Parenting & Family Life
Physical Therapy & Rehabilitation
Public Policy & Administration
Religion, Faith & Spiritual
Service Clubs, Orders, Guilds & Fraternities
Social Clubs, Recreation & Special Interest
Societies & Cooperatives
Special Needs
Sport & Fitness
Support Organizations
Travel & Tourism
Victim Assistance
Women & Mothers
please be sure to double-check your information