Sharing Your DKG Stories From the Heart Video
Email address *
First Name *
Last Name *
Chapter *
State Organization *
Link to Video *
Media Release
I am submitting a video to be used by DKG International. The video submitted for posting on the website or other media resource will be reviewed and posted only if the quality is suitable for public viewing. I understand that the above uses may include but are not limited to video, photographs, websites, multimedia programs or other types of promotional medium existing now or in the future, unless revoked. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service