29 msfocusmagazine.org Annual Caregivers’ Night Out Contest GIVE THANKS TO YOUR CAREGIVER Has your spouse, child, relative, friend, or neighbor gone above and beyond the call of duty to help you? Honor them this November during National Family Caregivers Month by sharing your story. Keep in mind that we seek stories with heart – not flawless grammar or perfect penmanship! Winners will receive dinner for two at a restaurant of their choice and their story may be published in the fall issue of MS Focus Magazine. Name Address City State Zip County Day Phone Alternate Phone Email address In 100 words or less tell us what makes your caregiver special and how he or she has made a difference in your life. Additional paper may be used, if necessary. Signature ________________________________________________ Date _________________ Submissions will be accepted from July 15 through Sept 1. Applications can be faxed to 954-351-0630, or mailed to Caregivers’ Night Out Contest, MS Focus, 6520 N. Andrews Ave, Fort Lauderdale, FL 33309. This information can also be emailed to homecare@msfocus.org.