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Connection Story

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Name of Donor/Recipient *

Your Connection to Donation/Transplantation *

Your Email Address *

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Your Story *

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By submitting a photo and story, you are authorizing Driven2SaveLives and/or Indiana Donor Network to use, print, publish and/or otherwise release any past or present images/stories you provide for the purpose of creating educational material. The material will become public and may also be used for Driven2SaveLives and/or Indiana Donor Network social media, websites and/or events to educate the public about organ, tissue and eye donation and transplantation.

If you are human, leave this field blank.

SHARE YOUR STORY

SHARE YOUR STORY

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