Telling Our Story Through Music

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Watch Me
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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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Please Share Your Visual Snow Syndrome Story * This field is required.Everyone who submits their visual snow story will be a credited writer on our song.
Huge
Large
Normal
Small
Ok
Ok
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Would you like to be kept up to date on the progress of our song?* This field is required.
YESNO
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Do we have permission to share your story with the public?* This field is required.
Yes, please!
Yes, but please keep me anonymous
No thank you, please only use my story to help write our song
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Are you open to being interviewed about your visual snow story?* This field is required.
YESNO
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If you are interested in being interviewed for this project, please drop your Instagram handle below.* This field is required.Put "N/A" if you don't want to be interviewed
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