Submit your Recommendation for 250 Acts of Positive Change
Are you submitting your own act of positive change or suggesting someone else with an act of positive change to share?
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Please Select
Myself
Someone Else
Your Name
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First Name
Last Name
Your Email
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example@example.com
Their Name
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First Name
Last Name
Their Email
*
example@example.com
Your Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Your City
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Their City
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization you are affiliated with (if applicable)
Organization the person you are submitting is affiliated with (if applicable)
What is/are your act(s) of positive change?
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What is/are the act(s) of positive change your referral is known for?
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Permissions & Acknowledgements
I give HUDSY permission to contact me and/or the person I am submitting for more information
I give HUDSY permission to share my act of positive change for promotional purposes
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