NEDAwareness Week Landmark Lighting Photographer Survey 2018

During National Eating Disorders Awareness Week, 80+ iconic landmarks in dozens of cities will be lit in the signature blue and green colors of NEDA to put a spotlight on the seriousness of eating disorders.
Fill out this survey to apply to become a volunteer landmark photographer in your area.

*Note: Some lighting details are subject to last-minute changes and we ask you to keep checking our blog (myneda.org/blog) to confirm final dates/revised changes.

1. Please fill out the below:

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Name:

 

 

 

 

       

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City/State/ZIP:

 

    

 

 

 

 

What's this?

*2.

(Maximum response 255 chars, approx. 5 rows of text)

3.
Question - Not Required - Date of scheduled lighting:




*4. Do we have your permission to use your name in social media?
(Select one of the available choices or enter a different value.)



5.

(Maximum response 255 chars, approx. 5 rows of text)

6.

(Maximum response 255 chars, approx. 5 rows of text)

*7.


   Please leave this field empty