HELP SAVE BIRDS  - FALL 2005 - LIGHTS OUT NEW YORK 
       If you like to sign up your building, please print out this page & fill it in. 
       Fax it to us at (212) 924-3870  or
       copy & paste this text into an e-mail and send it to us at lightsoutny@nycaudubon.org
       Please put LIGHTS OUT NEW YORK in the subject line.


	
        GENERAL INFORMATION

        Name of building: ___________________________________________________


        Building address: _______________________________________________


        Name of owner:    _______________________________________________


        CONTACT INFORMATION

        Phone Number:  __________________________________________________


	Fax:   ______________________________________________________


	Email:  _____________________________________________________

        INFORMATION ABOUT THE BUILDING

        Location: 
                               midtown east		midtown west	

                               downtown east		downtown west	

                               uptown east		uptown west

                               other: please specify______________________________________

        Number of floors:

        Building Type:
			Residential    	
			
			Offices office
   
       
       Are you able to turn off lights 
					from Sep 1 to Oct 31 	
					
					from April 1 to May 31

       If you have a webpage we can link to please 
       supply us with the URL and a possible LOGO that we can  use to link to your site. 

      ______________________________________________________________________________

      If you have any questions, call us at (212) 691-7483