Share Your Story

Diane at Park Ridge Hospital

Share Your Story

This is Diane at Park Ridge Hospital, Rochester, NY, working on gathering information and typing in the text on a laptop for what would later be used to share her Breast Cancer Story with you.

Read Your Shared Stories

	We invite anyone touched by cancer to submit a story or experience to Diane's Site for inclusion in Shared Stories section. Please share your stories of friendship, support, encouragement, survival, or inspiration with others. Simply fill out the on-line form below.
	Before stories will be posted, however, we need to read them. If we believe a story is nothing more than a disguised advertisement, it will not be posted.
	Please be aware that by sharing your story, you are agreeing that all or a portion of your story may be published on Diane's Site and that the words you use are your own. You also agree that we may edit the content of any submission. These are very basic and simple conditions and our readers are waiting to hear from you so please help others by submitting your story below.
	Diane's Site does not rent, sell, or share any personal information about you with other people or companies. Please direct any problems or questions about Diane's Site to her brother Lyn at the address below webmaster@ponpines.com

PERSONAL INFORMATION: (Items with a * are optional)

Today's Date (mm/dd/yy):

Your E-mail Address:

Share Your E-mail Address in Story?

Yes No

* First name Last initial:

* State or Location:

* Please Select an Age Group:

under 30

30-39

40-49

50-59

60 over

* Please Choose Type of Cancer:

* Phase of Cancer:

Title of My Story:

SHARING YOUR STORY:

You can either type directly in the box below, or write your story in a word processing program like Microsoft Word, then copy your document,
and paste it into the box below.

ADDITIONAL COMMENTS:

Please use the space provided for any additional comments you might have:
(not for publication)
Thank You for sharing your story!