Q Chat Space & imi Free Resource Request Form
This form is for those who would like to receive paper copies of imi and/or Q Chat Space wallet cards and posters. Please allow up to 5 weeks for processing and shipping. We will fulfill requests in the order in which they are received as inventory allows.

If you would like to send materials to more than one recipient, you will need to fill out multiple form responses. 

If you need a rush order or if you would like to request more materials than the form allows, or if you have any other questions, please email Hilary, Program Administrative Manager, at Hilary@lgbtcenters.org 
Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of CenterLink. Report Abuse