Join the Vision Zero Partner Network
Company/Organization
*
First Name
*
Last Name
*
Email
*
Phone
*
Street Address
*
Address Line 2
City
*
State / Province / Region
*
Zip / Postal Code
*
Industry
*
Where did you hear about the Vision Zero Partner Network?
*
Please Select
Vision Zero Website
Vision Zero Email
NDDOT Website
Flyer
Other: please specify
Other
*
Number of Employees
*
Please Select
select one...
1 - 10
11 - 25
26 - 99
100 - 899
900+
Optional in-kind contributions. Please select optional in-kind contributions you’d be willing to consider. Checking the box does not obligate you to contribute but acknowledges consent for us to contact you to discuss as opportunities arise.
*
Media advocacy (writing guest editorials to the newspaper, participating in media events, etc.)
Policy advocacy (education and outreach to stakeholder groups, participation in teams working to advance stronger traffic safety laws)
Purchase of promotional items for distribution at outreach events (magnets, pens, air fresheners, water bottles, lip balm or other imprinted items)
Purchase of paid media (TV, radio, internet ads) to expand the reach of planned campaigns and co-branding with logo on media materials
Donations to victim service organizations providing support to those who have lost loved ones in motor vehicle crashes or other non-profit traffic safety organizations
Not sure at this time
Please verify that you are human
*
submit
Should be Empty: