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 stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
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: *