Order Bulk Materials

 
To order education materials, please complete
this form. Materials are provided at no cost.
Order Date:
First Name:
Last Name:
Organization Name:
Mailing Address:
City:
State:
Zip:
County:
Phone:
eMail:
Organization Type:
Event Name:
Event Date:
 
Available Materials
For larger quantities or questions, please contact
us at 612-873-3144 or PoisonHelp@hcmed.org
  
Magnet
     (limit 100)

Quantity:

magnet.gif
Sticker
     (limit 100)

Quantity:
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Brochure
     (limit 100)

Quantity:

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Your order confirmation number is:
Please write down your confirmation
number for future reference.
 
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