Pandemic Influenza Community Preparedness Toolkit


Order Form

Please indicate quantity for each item wanted and complete the required information at the
bottom of the order form. Quantity limits do not apply to local public health agencies.
Items listed in alphabetical order.


 
Quantity Requested Stock
No. 		Title        Quantity Limit
Cover Your Cough/Clean Your Hands (flyer/poster)
 		 100
Dirty Hands Spread Disease WASH THEM! (sticker)
 		 25
Speakers' Bureau on Emergency Response (brochure)
 		 100
Stay home if you are sick! (8½x11 poster)
 		 50
Stay home if you are sick! (11x14 poster)
 		 15
Stop Help Protect Our Patients! (flyer/poster)
 		 50
Wash your Hands (flyer/poster - English)
 		 50
Wash your Hands (flyer/poster - Spanish)
 		 25
Wash your Hands (flyer/poster - English - laminated for use in restrooms)
 		 50
WHACK the Flu Activity Booklet
 		 250
WHACK the Flu Classroom poster (11x17)
 		 50
WHACK the Flu Teacher Evaluation Form
 		 10
WHACK the Flu School Recruitment Flyer (Flu Facts)
 		 25
WHACK the Flu Skit
 		 30
WHACK the Flu Bookmark
 		 100
WHACK the Flu Poster/Flyer (8½x11)
 		 150
       
** n/a - not available**    
*Required fields
  
 
 (P.O. Box holders must include street address)
     
 
If you have any questions about pandemic influenza or resources listed above, please
contact the Division of Community and Public Health at 866-628-9891.
 
 
Allow 2-3 weeks for delivery.   Click "submit" only once, as numerous clicks will result in multiple orders.