Donate Life America encourages the widest possible use of its Donate Life and Done Vida logos to provide a sustained, unified national message about donation.

Non-member use of our logos must be approved. Complete the request form below and upon approval, we'll e-mail the logos and "Style Guide and Usage Policy" to you:

* Required
First name *
Last name *
E-mail *
Organization *
Affiliation with organ,eye and tissue donation:
Street address *
City *	State *      Choose your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip *
Phone *
Fax
Are you working in collaboration with your local Donate Life America chapter?: * Yes       No
Intended use of logos (be specific): *
Date of intended use: *