Community Memoir Collection Project
www.triadculturalarts.org
Name
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Address
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Street, City/State, Zip Code
Email
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Confirmation Email
example@example.com
Cell Phone Number
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Area Code
Phone Number
Your Memoir
Description - Please record your personal experiences and other historical accounts that you remember about growing up in Winston-Salem from 1940 - 1999. Be very explicit with descriptions and include dates, neighborhoods, locations, names, etc.
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Upload Image
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Browse Files
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Upload Documents
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Browse Files
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Required Signature - By participating in the Triad Cultural Arts Community Memoir Collection Project, each entrant understands that if her/his story, images, etc. is selected to publicy display, s/he will relinquish all claims, rights (including any moral rights), and benefits related to the display, modification, reproduction, publication, distribution, use, and other exploitations of the work. This form must accompany all submissions. Sign below.
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Please sign your name with your cursor.
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