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|header=How has Wikipedia made your life easier?
|introduction=Wikipedia is read by over 250 million people from around the world every month — in over 250 unique language editions. Take a few minutes to tell us your story.
We may use your story to help spread the word and help the world understand the power of Wikipedia.
''(* denotes a required field)''
|link=You can link to a personal or organizational website, or to your Wikimedia project user page
|story-introduction=Please limit your submission to 2000 characters. We may follow-up with you to discuss your story and add more details. If you would like to submit more information or photos, please email [mailto:firstname.lastname@example.org email@example.com]
|check-box=By checking this box you grant the Wikimedia Foundation permission to follow-up with you directly regarding your story. We will seek your full permission before publicizing or discussing your story publicly.
(check box that must be clicked to submit form)
|submit=Submit my story!
|missing-info=Information must be entered in required fields in order to submit your information
|success=Thank you for submitting your entry to the Wikimedia Foundation. If you have granted us permission to contact you, we may be in touch shortly to discuss your story.