MAb Community Toolkit: Order Form

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This form allows you to order printed materials to be distributed to members of your community. We will print and ship these at no cost to you. We appreciate your support spreading this lifesaving message!

Email *

Name of Organization *

Ship to address: *

Date Need By?

Leave blank if date of receipt is flexible

YYYY

How many simple flyers in English? (0-200*) 8.5" x 11"

How many simple flyers in Spanish? (0-200*) 8.5" x 11"

How many simple flyers for those who are immunocompromised? (0-200*) 8.5" x 11"

How many extended information folded booklets in English (0-200*) 5.5” x 5.75” folded, 5.5” x 17” flat

How many extended information folded booklets in Spanish (0-200*) 5.5” x 5.75” folded, 5.5” x 17” flat

Postcard (0-200) 8.375” x 5”

Graphic Novel Flipbook (0-50) 4" x 6"

We would love to co-brand with you! Would you like to add your logo to the materials? We will contact the "yes" and "maybe" replies to discuss details.

Yes

Maybe

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For our internal tracking purposes, please list places (and dates when appropriate) where you plan to distribute these materials.

Do you need materials in other languages?

We're currently working on making all of our materials available in Spanish in addition to English. If you plan to distribute materials to communities who speak other languages, please list requests for translation below.

Any other requests?

*Please contact us at mAbColorado@cuanschutz.edu for any orders over 200, so we can discuss distribution plans. Thanks!

Send me a copy of my responses.

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