b'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? If so, honor them this November during National Family Caregivers Month by sharing your story. Keep in mind that we seek stories with heartnot flawless grammar or perfect penmanship! Winners will receive dinner for two at a restaurant of their choice and their story will be published in the winter issue of MS Focus. (If selected please have name and address of your restaurant choice available) Name AddressCityState ZipCounty Day Phone Alternate Phone Email address Name of Nominee In 100 words or less tell us what makes your caregiver special and how he/she has made a difference in your life. Additional paper may be used, if necessary.Signature ________________________________________________Date _________________Submissions will be accepted from August 31 through Sept. 30. Applications can be faxed to 954-351-0630, or mailed to Caregivers Night Out Contest, Multiple Sclerosis Foundation, 6520 N. Andrews Ave, Ft. Lauderdale, FL 33309. This information can also be emailed to email@example.com.'