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2. Please indicate what type of change you are requesting to the Directory.*
   -- Select One --UpdateCorrectionAdd a ListingDelete a Listing
4. 
   
6. Note the specific updates requested:
8. 
   
10. Organization Name:
12. Organization Address:
14. Organization Telephone:
16. Organization Website:
18. Eliminate the website link for this organization
    -- Select One --NoYes
20. Brief description of the organization and services provided to Libertyville:
22. Post this description to the organization listing.
    -- Select One --YesNo
24. Additional comments about the requested update:
26. 
    
28. In case we have questions about the request being made, please provide us the following contact information for the person submitting this form.
30. 
    
32. Your Name:*
34. Telephone:*
36. E-mail:*
38. Your role with the organization for which the update is being requested:*
40. 
    
42. We appreciate your assistance in keeping the Community Organizations Directory current and complete. We will integrate your updates into the Directory as soon as possible.
Leave This Blank:


43. Submit Submit and Print

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