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MAM Share Your Advocacy Story

 

Would you like to share your personal story about MS?

On our web site, in the news, and other places, you'll often see profiles of everyday people who are living with MS or helping move us closer to a world free of this disease.

We are collecting unique MS stories for media interviews, testimony, nationwide advocacy awareness, and more. If you are willing to publicly share your story for this purpose, use the form below to tell us a little about yourself. The National MS Society will contact you for a follow-up interview and will not use any information without prior consent.

If you want to write out your responses in a Word document first, you can cut and paste into the text boxes below.

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Question - Required - What is your connection to multiple sclerosis or the National MS Society?

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Question - Not Required - Have you or your loved one experienced any of the following? Check all that apply.

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Question - Not Required - Have you or your loved one experienced any of the following? Check all that apply.

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Question - Not Required - Have you or your loved one experienced any of the following? Check all that apply.

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Question - Not Required - Have you or your loved one experienced any of the following? Check all that apply.

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13. Thank you. We might contact you for more information.

If you have previously registered, please login here to prepopulate your information.

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Name:

 

 

   

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City/State/ZIP:

 

    

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What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

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5 to 60 characters

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5 to 20 characters

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Question - Required - This is my story.

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