"Save the Night" Bumper Sticker Request Form
Thank you for wanting to show your support of the dark sky movement on Nantucket! Please complete the form below to be mailed a "Save the Night" bumper sticker.

There's no charge but a donation would be much appreciated to cover the printing and mailing costs and to help us pay for other initiatives. To make a donation and to learn more about other ways you can help preserve Nantucket's dark skies, please visit https://nantucketlights.org after submitting this form.

Sign in to Google to save your progress. Learn more
Email *
Preview (11.25 x 3.75 in.)
Name *
Organization (if asking on behalf of an organization )
Mailing Address *
How many bumper stickers would you like?  Help distributing these would be much appreciated! *
Would you like to be on our "distribution team" and help hand out bumper stickers at designated locations?
Clear selection
Would you like to be added to our email list to show your support for our mission and to receive updates and calls to action?
Clear selection
Have another minute? We'd love to know why preserving Nantucket's dark skies is important to you and how you think we should focus our efforts.
If you would like to make a donation, please visit our website and click on the "DONATE" button at the top after submitting this form. 

If you don't receive the bumper sticker(s) you've requested within two weeks of submitting this request, please email us at nantucketlights@gmail.com.

Thank you!  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms