ALICE Stories

Name

Company

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Can we contact you for more information?

Yes

Can we use your story, or quotes from, it in our fundraising efforts?

Yes, anonymously

Yes, but I wish to remain anonymous.

Yes, First Name and County only

Yes, but only my first name and the county I reside in.

No, do not share my story

I want UWNI to know my story, but do not share it publicly.

We will never share personal or contact information.
It is extremely helpful for us to use real-life, local stories when fundraising or sharing about our work. We appreciate any information you are willing to share with us.
Thank you!