Sign-up IDP to receive 10kg or 20kg Atta from HelpCounts.

NOTE: Only one bag of Atta per family - please register only one person per family.

Name:
Family Number (from NIC):
NIC#:
- -
Address:
(on your NIC)

House# / Street:
City / Town:

HelpCounts.org is setting up multiple Distrubution Centers
Please enter your preferred CITY or TOWN to receive help.
City / Town:
PLEASE REMEMBER: You must bring your NIC card with you to collect your Atta bag.
*Note: This information will not be sold or distributed to third parties.
www.helpcounts.org is sponsored by concerned citizens.
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