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ADAO Legacy Donation Page Form
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Submitter's Email
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Submitter
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Submitter's First Name
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Submitter's Last Name
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Submitter's Address
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Submitter's City
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Submitter's State
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Submitter's Zip
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Submitter's Country
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Submitter's Phone
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First Name for Donation Page
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Last Name for Donation Page
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Submitting a photo is a requirement for your legacy page
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Share a brief message about why you are building this legacy donation page. (300 word count maximum):
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By submitting my story, I agree that ADAO may use
my story and photo in educational and advocacy materials.


ADAO will not sell, trade, or rent your personally identifiable information to third parties.
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