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2. Name
4. Email Address
6. Description
   Give a description of your memory. Where did it take place? What was the event? Who was there?
8. Upload Photo
   Upload an image of your memory.
9. Upload another photo?

   1. Yes
   2. No
11. Upload Photo
12. Upload another photo?

    1. Yes
    2. No
14. Upload Photo
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16. 1. Receive an email copy of this form.
17. Email address

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18. Submit

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