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 Participant Profile
 
  Step 1 of 3 -> Enter Information -> Review & Submit Information -> Confirmation  

Legal Name of Entity *
Address Line 1 *
Address Line 2
City *
State * Zip * Extension
TIN/SSN - - *
Is the entity a small business? Yes No *
Entity Type *
Principal Officer Name (F, MI, L) * *
 Point of Contact Information
Principal Officer and Point of Contact is the same person
Name (F, MI, L) * *
Email *
Phone (Primary) - - * Extension
Phone (Other) - - Extension
Fax - -
 
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Note(s)
- Name should be entered as First Name, Middle Initial (Optional), Last Name
- * Indicates mandatory field
- * For more information about a specific field, click on the underlined field name
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  PIH-REAC Division
U.S. Department of Housing and Urban Development
550 Potomac Place, 12th Street S.W.
Washington DC 20410
Contact: Technical Assistance Center (TAC)
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