Upload Your NIAW Lighting Photo Survey

Takes less than 3 minutes to complete

Show your support for National Infertility Awareness Week, April 19-25, 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!

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

2.Last Name

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

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

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

Yes

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.

Building/Landmark Name:

Dates it will be lit during NIAW (April 20-26):

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

8.State of Lighting

9.Upload lighting photo here

No file chosen

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.

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

Yes