Attachment_4_Proposal_Cover_Sheet.docx

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Attached to
HIV/AIDS Community Information Outreach Project 2013 (Full and Open)
Solicitation number
NIHLM2013704(B)
Issued by

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Proposal Cover Sheet

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ATTACHMENT No. 4 RFQ No. NIHLM2013704(B) Full and Open

HIV/AIDS Community Information Outreach Project 2013

RFQ No. NIHLM2013704 (B)

AWARD COVER SHEET

TITLE OF PROPOSED PROJECT:

NAME, ADDRESS, PHONE & FAX NUMBER OF SUBMITTING ORGANIZATION:

NAME/PHONE AND E-MAIL of CONTACT PERSONS:

ORGANIZATION WEBSITE ADDRESS:

DUNS NUMBER:

NAME, ADDRESS, AND PHONE NUMBER OF PARTNER ORGANIZATION(S):

PARTNER ORGANIZATION(S) WEBSITE ADDRESS:

BRIEF SUMMARY OF PROJECT (250 – 400 words):

PRIMARY PLACE OF PERFORMANCE:

Name and Title of Person Authorized to Sign Quotation:

Signature of Person Authorized to Sign Quotation:

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