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In the form below, please enter your contact information and tell us briefly what actions you are taking to raise awareness of lupus during Lupus Awareness Month. Please check the appropriate box if you would like LFA to share your efforts with others by posting the information on the LFA website. Read how others are helping to raise awareness of lupus.

 
 
Email Address:
   (Required)
Facebook Screen Name:
 
First Name:
 
Last Name:
 
Suffix:
   (e.g. M.D., R.N., Jr., III)
Street Address:
 
City:
  
State:
  (U.S. residents only)
Postal Code:
 
Country:
  

Telephone:

  
Authorization to publish:
   By checking this box, you grant permission to the Lupus Foundation of America (LFA) to publish information about your efforts on the LFA website.
Photos or links:
  

Check this box is you plan to submit photos or links for publication on the LFA website. See instructions below. Send material to peters@lupus.org.
Please briefly describe what you are doing to help raise awareness of lupus.  



 
 

 

 

 

  
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