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RNIB's 150th anniversary
Help celebrate RNIB’s 150th anniversary
Share your 150 story
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
- Select -
Mr
Mrs
Miss
Ms
Mx
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
- Select -
Blind
Partially sighted
Sighted
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
- Select -
Yes
No
Not sure
How did you hear about RNIB's 150 stories in 150 words campaign? *
required
- Select -
RNIB website
Social media
Connect magazine
RNIB Connect Radio
NB Online
Member of RNIB staff
Other*
If other, please tell us where you heard about the campaign
Which of these best describes you? *
required
- Select -
RNIB Connect member
RNIB staff member
Family member or friend
Eye health or sight loss professional
RNIB volunteer
Donor
Other
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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