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Survivors
  Tell Me Your Story

 
  The Patterson Pledge  
 
 
 
   
Your Story
 

Are You a Breast Cancer Survivor joining me on this Habitat Build? Tell me your story of survival and hope!

I am writing columns in the Dallas Morning News about the remarkable survivors who are building with me in 2009,
you could be one of them.

Please complete the Form below.

First Name *

Last Name *

Email Address*

Contact Phone *

Age
*


When were you diagnosed?
*

What stage is your breast cancer?
*


What treatments did you undergo?
*


How did you survive breast cancer emotionally? *

What will building this house with other survivors mean to you?
*

What does gratitude mean to you? *


Fields labeled* are required


 
 
   
 
 
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