Video Submit Form

1
Name
First Name
Last Name
2
E-mail
example@example.com
3
GUIDELINES

Testimonies can be submitted in written or video form.

Videos should not exceed four minutes.

Here are a few suggested taliking points.

How you were diagnosed

Years of overcoming

Early dedication advise (optional)

Your journey to healing

Advise you may offer to individuals and families battling the disease.
4
Share Your Testimony
5
Upload Photo* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
6
Submit a Video Testimony
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
7
Make sure your video is no longer than 4 minutes. Make sure you indicate, I do/do not own the right to use all music & images on the video. Make sure your video does not containt unappropriate language, images, or sounds.
8
Do You Agree to the Terms Above?
Yes, I do
No, I don't
Should be Empty: