988 Yard Sign Request Form
Promote September Suicide Prevention Month with a free yard signs to remind everyone of the statewide suicide and crisis lifeline, 988. Sign up to receive a sign as an easy way to show your support of suicide prevention and mental health efforts in Brookings County!
Name
*
First Name
Last Name
Business/Organization (if applicable)
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How many 988 signs would you like?
*
Limit of two signs per person. Please email tehra@brookingsunitedway.org if you are interested in more than two signs.
Address that the 988 sign will be located at
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address that the second 988 sign will be located at (if different than above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments/Instructions:
Submit
Should be Empty: