Pauvre et Captif//Poor and Captive
Info et Témoignages//Testimonials and Information

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Nom//Name
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Ton Témoignage //Your Testimonial
Racontez-nous votre histoire, si vous le voulez bien. //Please share your story with us
Your answer
Pouvons-nous parler de votre histoire dans notre campagne médiatique?//Are you comfortable having your story shared in our campaign's media?
//Can we contact you?
Courriel//Your Email
Your answer
Informations à votre sujet // About you
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