Community Request

A short, safer way to reach us.

This form takes about three minutes. You do not need to share your legal name, date of birth, sexual orientation, gender identity, emergency contact, identity documents, or personal history.

Share only what feels safe.

We ask for one safe way to contact you. Your request is reviewed by authorised Afrinalia team members. This form is not monitored continuously; for urgent concerns, use the contact page and write “urgent” without adding details that could put you at risk.

1 Your request 2 Safe contact 3 Preferences

Step 1 of 3

Step One

What brings you to Afrinalia?

Choose the closest option. You can explain more later only if you want to.

Choose one
Select the option that feels closest. No identity disclosure is required.
Required questions are kept to the minimum needed for a response.

Step Two

How can we contact you safely?

Use a chosen or safety name. Share either email or phone, not both unless you prefer to.

This can be a chosen name. It does not need to match an identity document.

Step Three

What would be helpful?

Everything in this section is optional except the two clear agreements at the end.

I am interested in (choose any that apply)
Afrinalia should not ask for more sensitive information unless it is necessary for a specific service, the reason is explained, and you freely consent.

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