Please complete the form below. We ask for your email address in case a group, individual or media outlet would like to learn more about your story. We'd like to be able to contact you and seek your permission to put you in touch with them; however, if you opt not to share it, we will respect your right to privacy. We will not share your contact details with anyone without your permission. If you would like to send us your picture, you can email: bannedlives@iranianalliances.org

You can also send us your story via Twitter or Instagram by contacting @iaabsays (Twitter) or @iranianalliances and using the hashtag #bannedlives.

Thank you for sharing your story. We honor your story and stand in solidarity with you.

What's your story? How will the ban impact you, family, or friends?
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Your First Name
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Email Address
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May We Contact You?
In Case There's Anything Else You'd Like to Share
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