STD Awareness Posters: Order Form

Must be a Minnesota-based organization/resident in order to receive supplies.

Please complete the form below.
Download Don't Wait 'til it Hurts posters, formatted for print (PDF)

Contact Information

Name(s)
Organization
Address
City
State
Zip
Phone
Fax
E-mail
Agency Web site

Posters
These posters are 11" x 17."
(Click on image for a larger view.)
Number requested
Limit 10 per title.

Don't Wait 'til it Hurts (bees)

don't wait til it hurts with bees

Don't Wait 'til it Hurts (razors)

don't wait til it hurts poster with razors

Don't Wait 'til it Hurts (matches)

don't wait til it hurts poster with matches

To prevent abuse of this form, please type the following letters/numbers 8WWGX 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 651-201-5414.

Last Modified: 15-Aug-2016 11:45:23 am