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My Story Isn’t Over Yet Fund
Rebuild The Dream Fund
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Onboarding Submission Form
The Dream Machine Submission Form
Dream Machine USA would love to hear about how you and your family have been affected.
Please submit all details below in order to be considered for the next step in the process.
Keep on dreaming!!
What is the dreamers full name?
*
Preferred Nickname?
*
What is your home address?
*
Where are you located?
*
What is your dream?
*
What are the struggles being experienced/ standing in the way of making the dream a reality?
*
Please add any links to social media or gofundme pages, etc.
*
What immediate assistance do you/family need?
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What is your current financial situation?
*
What is your phone number?
*
What is your birthdate?
*
What is your email?
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Is there anything else you would like us to know?
*
Upload your picture
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I agree to terms & conditions provided by Dream Machine. By providing my phone number, I agree to receive text messages.
*
I agree
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Fundraisers
My Story Isn’t Over Yet Fund
Rebuild The Dream Fund
Onboarding Form
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Chase the Dream!
Please fill in the following information
First Name
*
Last Name
*
Email Address
*
Phone Number
*
I agree to terms & conditions provided by Dream Machine. By providing my phone number, I agree to receive text messages.
*
I agree
Submit
Name
John
Your email
johnsmith@example.com
Phone Number
+1234 567 890
Submit