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Name

Email

Phone

Church / Christian Faith-Based Organization Name

What is the city and state location of church/organization?

What is your role at your church/organization?

Lead Pastor / Executive Director

Is your church currently engaged in fighting human trafficking?

Yes

No

If yes, please describe your intiatives and when they began

Church / Organization Website

Is your church / organization an official 501c3 non-profit?

Yes

No

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REPORT HUMAN TRAFFICKING

Trafficking Hotline (888) 373-7888

In case of Emergency dial 911

3660 Grandview Parkway, Suite 400

Birmingham, Alabama 35243