Form

Your Love Note

Please complete as much of the information as you can,
and be sure to enter your full name--we want to make sure
you are part of The Love Note Project archive.

By completing this form, you consent to the publication
of your Love Note on our websites and in other media
projects related to The Love Note Project.

Because participation in this project is strictly voluntary,
all submissions must be confirmed before publication.
After clicking on Submit, you will receive an email
inviting you to confirm your submission.

Although we may send you occasional updates about
the project, we will NEVER publish your email address,
nor will we ever share it with anyone else.

Full Name*
Email*
Where are you?*
City
State
Your Six Words*
Anything else to say?

* required information

For security purposes, please type the letters and numbers you see below.