You & LCN Fundraising
The purpose of this survey is to invite you to help us raise funds for the LCN.
About You
If you would like to learn more about the LCN and how you can help raise funds, please provide us with information about you.
First Name *
Last Name *
City and State where you live *
Email *
Phone Number *
What Leukodystrophy has affected your family? *
How are you related to the affected individual? *
Do you have a family member or friend who wants to help? *
Please let us know what experience and/or ideas you have for raising funds for the LCN. *
Any other comments and/or questions?
Thank You!
Thank you so much for completing this survey. We hope to get back to you soon.
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