Hurricane Katrina Book Submission Form
If this form does not provide enough room for your submission feel free to email it to me directly at: submissions@astrya.com
1. Name (As you wish it to appear in the book)
2. Complete Address (i.e. street address, city, state and zip code)
3. Telephone Number
4. Email Address
5. Occupation
6. Submission (Your personal story of survival or service during the Hurricane Katrina disaster)
7. Additional Information (or continuation of submission)
8. Do you know any other Katrina Survivors or Relief workers? If so, please list their email address here and I will contact them about this project. Thanks.
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