JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Permission for public acknowledgement
Complete this form if you would like to be publicly acknowledged on our website for your contributions and being Milestone Maker! Your donation amount will NOT be disclosed.
For more questions please contact us via email info@celebratingone.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (first, last)
*
Your answer
Email
*
Your answer
Full Address (House number, City,Street, state, zip)
*
Your answer
Phone number
*
Your answer
I give my permission to Celebrating One to publish my name under Milestone Makers to acknowledge my contribution. I am indicating below my preference for publishing name
*
Permission to publish my full first and last name (eg. Jon Smith)
Permission to publish my full first name and only initial of my last name (eg. Jon S.)
Permission to publish initial of my first name and full last name (eg. J. Smith)
Required
By signing my full name here, I confirm that is my true signature and approval for publishing my name on Celebrating One website.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Celebrating One.
Report Abuse
Forms
