Share your Planned Parenthood story!

Why do you support Planned Parenthood?

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Question - Not Required - Have you been a Planned Parenthood patient?

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Question - Required - Would you be willing to share your story publicly? (Check all that apply)

  The Basics

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Question - Required - Yes, I give permission to the Planned Parenthood Maine Action Fund and any other Planned Parenthood organizations ("Planned Parenthood") to use my story or any portion of it in any manner or media for any lawful purpose whatsoever. I confirm that I have written the story myself, and i release Planned Parenthood from any liability arising out of the use of my story. I give permission to Planned Parenthood to publish my first name, last initial, and city and state of residence with my story.

 
Question - Not Required - Yes, I give permission to Planned Parenthood staff to contact me about my story using the contact information I provided

 


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