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 500 Terry Francois Street San Francisco, CA 94158
info@mysite.com  |   123-456-7890

We Need Your Support Today!

This institution is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online hereor at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Phone: 402-387-1420

Address: 207 N Main Street, Ainsworth, NE 69210

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