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2. Kitchen/Business Name*
4. Contact Name
5. Contact's Role in the Organization
7. Contact Phone*
8. Email Address*
10. Address of Site Location*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
18. Kitchen Description*

    Provide a brief statement of why you are interested in the Greater Cincinnati Smart Kitchen Initiative (300 words or less).

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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field