LIVE UNITED
TM
United Way of York County, SC
2-1-1 Database Certification Form 2017-18
Agency Name: _______________________________________
Agency Representative: ________________________________
Email: ______________________________________________
Phone: ______________________________________________
Date 2-1-1 Database updated: ___________________________
Were any programs/services updated? _____ YES
_____ NO
If there were updates, please add brief description of updated information:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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Please return by fax: (803) 324-2987 or email: [email protected]
226 Northpark Drive, Suite 100  PO Box 925  Rock Hill, SC 29731
(803) 324-2735  (803) 675-6007  fax: (803) 324-2987  www.unitedwayofyc.org