A C C E S S
AirCraft Casualty Emotional Support Services
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If you would like to have a Volunteer Grief Mentor who has survived or lost a loved one in an air crash provide you with guidance and peer support, please fill out the following information or call toll-free 877-227-6435:
All information kept strictly confidential
Name:
Address:
City:
State:
Zip:
Country:
Day Phone:
Eve Phone:
Fax:
Email:
History:
I survived an air crash:
I lost my (relationship):
Name of your loved one?
Age of your loved one?
Which air carrier?
Location:
Date:
Contact me via:
phone
email
Best time for ACCESS to contact you?
How did you hear about ACCESS?
Anything else you would like to share?
A C C E S S 1202 Lexington Ave. Suite 335, NY, NY 10028 1-877-227-6435
info@accesshelp.org
©2000