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In Your Own Words
-- Submit Form --

Instructions: Complete the following form. Please use your real name and real email address. Your email address will NOT be used except to confirm your entry. Your entry will appear as 'First Name' 'Last Initial' from 'Your City and State'. You will receive an email with a code number. Only after you reply to this email, will your entry be considered for display on our 'In Your Own Words' section.
Email Address (Required!)
Title or subject of story:
Your Story!: