National Latino AIDS Awareness Day (NLAAD) Materials Order Form

Please complete the form below to submit to Roy Nelson. You can also contact Roy via e-mail.


Contact Information

Name(s)
Organization

Address

City

State

Zip

Phone

Fax
E-mail
Agency Website
Posters
These posters are two sided - one side is English and the other side is Spanish. Limit 5 posters per title. The posters are 14" x 19."
Larger view of all posters: (PDF: 8MB/6 pages)
Number requested
(limit 5)
Test Your Equipment
No Mas (English)
With 17,000 STDs...

To prevent abuse of this form, please type the following letters/numbers TEKFD into the field below. Thank you.
required


Please PRINT this form as a confirmation prior to pressing "Submit Order." Thank you.


If you have technical difficulties with this order form, contact Roy Nelson at MDH by calling (651) 201-4027, Fax: (651) 201-4000, or via e-mail.

Updated