Freedom From Smoking® Program Promotion Form

American Lung Association offers promotion of all community group programs at no cost through its signature website www.Lung.org. A webpage dedicated to your group program is a great way to promote it to any community members seeking a tobacco cessation program in your state! To promote your group program, please complete the form below 4 weeks or more prior to the start of your clinic. You will receive confirmation from our team via email along with the link to your program's page once it is developed. If you have any questions please contact our team at FreedomFromSmoking@Lung.org.

1. Contact information of Freedom From Smoking Facilitator hosting the group program: *This question is required.

Full Name:

Email Address: This question requires a valid email address.

Phone Number: This question requires a valid number format.

Organization Name Hosting the FFS Group Program:

2. Are you the facilitator conducting the group program? *This question is required.

3. If you are filling this out on behalf of a facilitator, please provide your name and email below. *This question is required.