Tell Us About It


We had a successful activity for Buckle Up, America! Week 1999! Please consider including our program in a future Campaign Safe & Sober program planner.

  • Attached is a 1-3 paragraph description of our program (REQUIRED).

  • We have logos, photos and/or other graphics that could illustrate our success story, if needed. (OPTIONAL - Please do not send material with this form. We will contact you if your success story is included.)

If our success story is included in a future planner:

  • you may include contact information

  • please do not include contact information.

NAME:


TITLE:


AGENCY:


ADDRESS:


CITY/STATE/ZIP:


PHONE:


FAX:


E-MAIL:


Send to:
Campaign Safe & Sober
"Success Stories" - NTS-20
National Highway Traffic Safety Administration
400 7th Street SW
Washington, DC 20590


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