/contact.html

Contact Us

Contact us anytime using the contact information or the convenient form provided below!

Contact Form

Subject:

*Message:
 
*First name | Last name:
*E-mail address:
Organization:
Street address:
City | State:
Zip | Country:
*Work phone:preferred
*Home phone:preferred
Cellular phone:preferred
Fax:
* required fields
This data, at any time revocable for you, may be stored by us on an national or international server and may be used by us to provide you with information about our activities, our organization and about ways how you can support us. By clicking "Submit" you agree that we may process your data in the manner indicated above. Your may request the deletion of your data at any time.
 
 
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©2008 Little Brothers - Friends of the Elderly
Last updated: Thu, 12 Jul 2007 15:31:52 GMT
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