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RNIB Raffle Winner's Questionnaire

Fields marked * are required.

I am happy for RNIB to share my story (including my name and photo) in publicity *
I am happy to email a photo of me holding the large version of my cheque to [email protected] *
I am happy for RNIB to share my story anonymously *
I am happy for RNIB to contact me to discuss my story in more detail *

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