Share your Donor Testimonials Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Question Title * 4. Why do you donate to NANOS? Please share your testimonials below by telling us why you support and donate to NANOS and help us tell OUR story to a bigger world. Your story is NANOS's story. Question Title * 5. Check one of the boxes below to indicate whether you give NANOS permission to use your donor testimonial and/or name in our fundraising campaigns (on social media channels, website, and in other marketing materials). I give NANOS my permission to use my donor testimonial and name in NANOS fundraising campaigns (on social media channels, website, and in other marketing materials). I give NANOS my permission to use my donor testimonial in NANOS fundraising campaigns (on social media channels, website, and in other marketing materials). Please keep my name anonymous. I do NOT give NANOS my permission to use my donor testimonial and name in NANOS fundraising campaigns (on social media channels, website, and in other marketing materials). Question Title * 6. If we were to tell the NANOS story to the lay audience and solicit donations from your patients, which slogans would resonate with your patients (e.g. Help NANOS fight MS, NMO, IIH, MG, NAION, Help NANOS give a louder voice to patients in need of neuro-ophthalmic care, other). Help NANOS fight vision loss Help NANOS fight MS Help NANOS give a louder voice to patients in need of neuro-ophthalmic care Other (please specify) Done
