Story Submission

I agree to allow the use of my photograph(s), likeness, and written statements or other reproduction of my  image and/or information and statements made by me to Cascade Engineering, Inc., without compensation and grant to Cascade Engineering, Inc., its affiliates as well as their agents any and all rights to this use in all forms.

Subject hereby releases Cascade Engineering, Inc., its officers, directors, employees, agents, and all other parties in interest from any and all present or future claims, grievances, damages and causes of action that he/she may have arising out of or in connection with such use.

I acknowledge that I have carefully read the above Release prior to its execution, and that I am fully familiar with its contents.

All of the following fields are required

Information about you

Your Name

Your Email

Your Address

If your story is selected and published we will send you a free 6 gallon Pink Tote. In order to do this we need your Address and Phone number.

Street:

City: State/Province Zip:

Your Phone Number (ex: 555-555-1212)

Story Information

Name of whom this story is about

Relationship to whom this story is about

State printed with story

A photo of you or the person in the story

Your Story

We read each story submitted. If your story is selected and published we will send you a free 35 gallon Pink Cart.

Thank You for your support of The Pink Cart and Breast Cancer Awareness