Takes less than 3 minutes to complete

Show your support for National Infertility Awareness Week, April 20-26, by illuminating buildings, homes, or landmarks in orange.

This form is to submit your #LightItUpOrange photos. Your photos could be featured on RESOLVE’s website, social media channels, and more—helping raise awareness and showing our community they’re not alone. You can also tag @resolveorg on social media and use #LightItUpOrange so others can see the lighting.

Thank you for helping us reach our goal to illuminate all 50 states and being #ALLin for the infertility community!

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* 1. First Name
(Your name helps us recognize your efforts, but you may leave it blank to remain anonymous.)

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* 2. Last Name

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* 3. Email
(Your email lets us follow up on your submission. It won’t subscribe you to RESOLVE emails.)

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* 4. Phone Number
(Your phone number is only used for follow-ups and won’t be shared.)

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* 5. Have you received approval for your building or landmark to be illuminated in honor of NIAW?

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* 6. If you answered "yes" to receiving approval for your lighting submission, please provide the name of the building or landmark and the dates it was illuminated orange.

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* 7. City of Lighting
(This helps us track and share the locations that participated in lightings during National Infertility Awareness Week.)

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* 8. State of Lighting

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* 9. Upload lighting photo here

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 10. Social Media Handles
Share any relevant social media handles, including your personal account if you'd like to be recognized, as well as any handles associated with the lighting location.

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* 11. Yes, I would like to receive email communications from RESOLVE: The National Infertility Association.

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* 12. How did you hear about this?