Share your 150 story

Please fill out the form below to take part in RNIB's 150 stories in 150 words campaign. If you'd like help completing this form, please call the RNIB Connect team on 0303 1234 555 and they will be happy to assist.

Title * required

First name * required

Surname * required

Telephone number * required

Email * required

Address line 1 * required

Town/City * required

Postcode * required

Which description best describes your level of sight? * required

Sight condition (if applicable)

Tell us your story in 150 words * required

Please write no more than 150 words. Tip: it might be helpful to write your story in a Word document first. When you are happy with how it, copy and paste your story into the text box.

Do you have a photo to accompany your story, which you're happy to share? * required

How did you hear about RNIB's 150 stories in 150 words campaign? * required

If other, please tell us where you heard about the campaign

Which of these best describes you? * required

Which of these is most applicable? * required

I'm completing this form online for myself, or on behalf of a friend or loved one

I'm a member of RNIB staff (eg Helpline or Connect), completing this form on a customer's behalf

By submitting your story you agree for a member of RNIB staff to contact you for more information. Your information will not be shared further within RNIB or externally, and will not be used or published without your explicit consent.

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