ASNR 35th Anniversary Submission Form | American Society of Neurorehabilitation

Please use the form below to submit your stories, memories, reflections, and congratulations messages for ASNR’s 35th anniversary.

Thank you for helping us honor this special occasion!

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Last Name *

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Please share with us:

- your favorite ASNR memory or story
- how ASNR has impacted you
- a 35th anniversary congratulations message
- reflections on your time as an ASNR member

(Maximum characters: 750)
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By submitting your story to ASNR, you grant ASNR full permission to:

1. Edit your submission for clarity, grammar, length, and formatting while preserving its original meaning and intent.

2. Share, publish, and distribute your submission, in whole or in part, freely across all media platforms, including but not limited to print, digital, social media, and promotional materials.

Furthermore, you confirm that you are the original author of the submitted content and that you hold the rights to grant this permission.
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ASNR will make reasonable efforts to credit you as the author of the submission whenever it is published or shared. If you prefer to remain anonymous, please check this box.

Your form submission WILL be encrypted using SSL to ensure your privacy.