• May12th.org.au - Submit 'Light Up The Night' Australia information

  • Use this form to submit information about an Australian building or landmark you or your organisation has organised to light up as part of May12th International ME/CFS Awareness Day.

    This information is published on May12th.org.au and its social media accounts.

     

    If you have more than one building or landmark to let us know about, please make multiple form submissions. It is recommended to submit the information as soon as you have confirmed it, rather than in one batch.

    To assist our volunteers, please complete as many fields as possible before submitting this form.

  • Building or landmark lighting up

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  • State or territory of the building or landmark*
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  • You are welcome to forward us a copy of the email confirmation from the building/landmark owner so that we have a record, and for future years. Our email is info@may12th.org.au

  • Organiser

  • We keep a record of, and sometimes publicly list or thank, the organisation or person who organised the building/landmark lighting. This is usually someone assisting an ME/CFS organisation as the organiser, or as a volunteer of theirs.

  • Was this building/landmark organised for or on behalf of an ME/CFS organisation?*
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  • If your answer is yes, what is your role or connection to the organisation?
  • If your answer is no, please let us know whether you want your name publicly listed as organiser credit.
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  • Consent

  • Consent*
  • Your contact information

    This information will not be published and is for record keeping purposes only.

  • I am submitting this form:*
  • 0/100
  • Ready to submit

    Thank you for taking the time to submit the above information.

    Please click the Submit button below.

  • Should be Empty: