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SHARE YOUR VALLEY FEVER STORY
Have you or a loved one suffered from Valley Fever?  Are you interested in sharing your story with our VFAF community?  With your permission, responses may be shared on our website, social media pages, or featured in our YouTube series, "Interviews with Survivors of Valley Fever "
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Name
Email Address
Phone Number
Can we contact you for further information regarding your Valley Fever story?
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What is your connection to Valley Fever?
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Are interested in sharing your story with others? (In Print, Online, or on Camera?)
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Your Valley Fever Story
Would you be interested in doing an interview?
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Do you have any advice you would like to offer to others in our community that are struggling with this disease?  
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