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If you would like to be a model in the PHA 2024 Fashion Show, choose the category you want to model, decide your outfit, then complete this form. In addition to telling us about yourself and your outfit, let us know if you use oxygen, pump therapy or mobility devices. Include the name of the device and how you have chosen to conceal or accessorize it for the Fashion Show.

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* 1. Enter your information

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* 2. I am walking

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* 3. Outfit category

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* 4. Describe your outfit

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* 5. About you

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* 6. Lifestyle highlights

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* 7. Do you use (select all that apply)

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* 8. If applicable, tell us the name of your device and how you have chosen to conceal or accessorize it for the Fashion Show.

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