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Dear Person Reading This
Hi there, please fill out and submit this form.
7
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1
Name
Please leave this blank if you wish to be anonymous.
First Name
Last Name
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2
Email
example@example.com
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3
Dear Person Reading This...
Please place a one lined message that is directed towards your audience and goes along with your story. This line should start with "Dear Person Reading This.." (i.e. Dear Person Reading This, you are not alone!)
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4
Share Your Story!
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quote
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5
Please Upload an Image
Please upload a headshot image of yourself. If you wish to stay anonymous, please upload a photography picture that goes along with your story, as well as where the picture is coming from so that we can give proper credits. If you for some reason are not able to upload your photo here, please email it to
DearPersonReadingThis.Project@gmail.com
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6
Source of Your Photo
(if applicable)
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7
Publication Agreement
I authorize Sierra Brooklynn co. to publish my letter and my photo on their website and use them on social media for outreach purposes.
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NO
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