** Please complete this form if you wish to update a current listing, to be added to or deleted from the KINLink Informational Network Resource.

* Resource/Company Name

* Address 
*City *State *Zip Code
*Phone # - - FAX # - -
*Contact Person
*email Address (if applicable)
  Website Address (if applicable)
Resource County 
Please state resource type if it is not listed above

Please provide a brief description of resources (including population served)

 Is this Resource only available to Families within specified county?
Yes
No

Please check the appropriate action you are requesting of KINLink.

Please have above company added to your resource list .
Please remove the above company from your resource list.
Change/add information on a current resource.