Get your Free copy of Uniquely You Indy
Thanks for taking the time to register to get the monthly digital version of Indy Uniquely You Magazine!. We welcome individuals, families & caregivers in the special needs community to share their stories to better impact the community. We strive to celebrate, impact, connect the special needs community together. Registration is open to all-comers who find value in the collaboration and benefits from being connected to a vibrant community where stories, trials and triumphs are highlighted alongside the latest trends in technology, sciences and innovations that are relevant to each of our lives. We hope you enjoy this Free monthly publication to celebrate, connect, support & impact the special needs community on behalf of our support partners! *Please note that this form is private, and your information will not be shared to any third party for marketing purposes. This form is exclusively used as a means of developing our distribution list for a monthly publication geared towards supporting the special needs community. We are committed to never share your details without your express consent. We will establish a distribution to Indianapolis and surrounding counties relative to our final distribution model. If your address falls outside of our distribution, you will still be registered to receive a digital form of the monthly publication.
Name
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First Name
Last Name
Email
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example@example.com
Address
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Address
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State / Province
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Are you a parent, caregiver, or special needs individual?
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Yes I am a parent
Yes I am a caregiver
I am a special needs individual
How are you connected to the special needs community? (Autism, Down Syndrome, Cerebral Palsy Etc.) Please share below
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Would you like to share your story in a future issue of Uniquely You Indy Magazine
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Not now maybe later
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Would you be interested in being a contributor?
Photographer
Junior Writer
Writer/Editorialist
Content Provider
Business/support partner
Events Planning
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I have an idea/personal story to share
Do you have any resources that you have found helpful throughout your special needs journey that you would like others to know about? (Share Company Name, Contact Name, Email or Phone Below)
Please select the way you would like to get Uniquely You each month.
I would like the free digital issue of Uniquely You. I am ok getting the monthly emails for these monthly issues emailed to the email address above.
I run a business and would be open to talking more about how I can help support more free copies of Uniquely You getting into the hands of more individuals in the disability community as a support and resource.
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What is the name of your business?
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I have a business and would like additional printed mailed copies that I am happy to help sponsor to support more individuals in the community and help them be encouraged through the stories, resources and event opportunities shared in them each month.
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