American RadioWorks Vietnam Revisited Story Intake Form

YOU'RE INVITED to contribute your story about the impact of the war on your life today. American RadioWorks will create a collection of the stories we receive and post them on this Web site (Please allow a few days after submission for your story to appear.)

About yourself
(This information will be displayed with your story. Items marked with an asterisk (*) are required. Please include age if under 18.)

Name* (First, Last)
City/Town*		State/Province*
Country*		Age
Gender	M F	Vietnam Vet? Y N

Contact information
(This information will not be displayed and will be used only to contact you regarding your submission.)

Telephone Email

Your story (2000 words or fewer)

Please be aware that people identified in your story may be sensitive to having their names mentioned on the Web. By your submission, you grant American RadioWorks the right to post your story on its Web site and to excerpt from it for promotional purposes relating to its "Revisiting Vietnam" project. You will be contacted if further usage is desired. Please see Minnesota Public Radio's Terms of Use and Privacy statements.