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Share Your Story – DC Smokefree Housing

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Share Your Smoke-Free Housing Story

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Are you a tenant with a story about your personal experience going smoke-free in your building? Are you property owner or manager with advice to share with other landlords interested in going smoke-free? We want to hear your story! Share your experience to help others!

Name*
First Last
Email*
Subject*
I am a:*
- Tenant
- Property Owner
- Property Manager
Your Smoke-Free Housing Story*
Attach Your Photo (optional)
Accepted file types: jpeg, jpg, png, tif, gif.
RELEASE AND CONSENT I hereby give Breathe DC the absolute right and permission to publish, copyright, and use a story and/or photo(s) of me which may be included in whole or in part, composite or retouched, in character or form, without remuneration. The intended use of the story and/or photo(s) is for the Breathe DC Smokefree Places program and DC Smokefree Housing website, but may be used for other purposes, i.e., the Breathe DC website, blog, or on one or more of Breathe DC's social media profiles including Facebook, Twitter, etc. I certify that I am the person in the story and/or photo(s), I am over age 18, and I certify that I give my consent without reservation.
Release and Consent Agreement*
- I agree to the submission Release and Consent terms above.
Comments
This field is for validation purposes and should be left unchanged.

Icon Source: Reading by Alexandria Eddings from The Noun Project.