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7,937,017 New Yorkers have joined the NYS Donate Life Registry

Donate Life Month T-Shirt Request Form

Your office will receive its annual shipment of Donate Life awareness materials in advance of Donate Life Month. To ensure that your staff has enough t-shirts, we kindly request each county complete the form below by February 20, 2024, specifying the quantity of t-shirts needed in each size.

NOTE: Please request t-shirts only for staff who do not possess one or have not received one in the last three years.

Donate Life Month T-Shirt Request Form

Please submit by February 20, 2024.

County Clerk/District Office Manager Name(Required)
Contact Name(Required)
Shipping Address(Required)
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