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Eyes Like Mine Inc. 2023 Dancing with the Blind Nomination Form
Please nominate someone who is vision impaired or blind that you believe would be a good fit for our Dancing with the Blind event.
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Name of Nominee
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Social Media Handle
*
Your answer
Why do you believe your nominee would be a good fit for our Dancing with the Blind Event?
*
Your answer
Any Questions? Please reach out to
info@eyeslikemine.org
or
projectmanager@eyeslikemine.org
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