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Moisad Security Assist

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Application Data Form

Legal name of Organization*

Project Address

Multi-line address

Country/Region*

Address*

Address - line 2

City*

Zip / Postal code*

Do you own or lease this property?*

Own

Lease

Are there any other NFP Organizations operating from this facility?*

Yes

No

What year was this facility built?*

What year did you begin occupying it?*

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