CenterLink Online Directory Submission Form

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Please provide the following contact and programming information for your organization. If an item does not apply to your organization, please indicate that.

The directory is available at http://Directory.LGBTcenters.org.

Please note: Any LGBT center is eligible to list their Center name and city / state / country, however only CenterLink members are offered featured profiles , including detailed prorgam information, photos, your logo, and more. For more information visit http://Join.LGBTcenters.org.

Information in Section A will be publicly available on our website. Information in Section B is internal information for CenterLink's records, and will NOT be available in our directory or shared publicly (other than as aggregate data). This information will enable us to provide you with information and services customized to the needs of your organization.

Your changes should be reflected within 5 business days, however most will be posted sooner.


IF YOU HAVE ANY TECHNICAL ISSUES, PLEASE NOTE THE ERROR MESSAGE AND CONTACT centerlink@LGBTcenters.org. WE APOLOGIZE IN ADVANCE FOR ANY TECHNICAL ERORRS THAT ARISE.

 


Contact Information (Person Completing This Form)







Section A (Directory Listing)
Organization Information





Mailing Address

Physical Address (ONLY if it differs from Mailing)

http://




Contacts At Your Organization













Programs / Services At Your Organization
Mon: Tues: Wed: Thurs: Fri: Sat: Sun:







































































































Additional Organizational Information




Section B (Confidential Data Record)

























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