MALC 30 Years: Share Your Story

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Full Name*

Email Address*

Phone Number

Your connection to MALC*

How long have you been part of MALC?*

What is your achievement or milestone?

Tell us your MALC story

What makes MALC special to you?

Finish this sentence: MALC allowed me…*

Upload a photo (optional)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .jpeg, .jpg, .mov, .mp4, .pdf, .png

Are you happy for a team member to contact you about your story?*

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I give permission for MALC to share my story on social media, marketing materials, and in Centre displays as part of the 30 Years celebration.*

YesNo

I give permission for MALC to use my uploaded photo if selected.*

YesNo

Signed*

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