PONI Harm Reduction Kit Order Form

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Use this form to order fentanyl test strip kits, wound care kits, and/or safer smoking kits. Let us know what kind of kits you would like, where they will be distributed, and how to get in touch! Skip or enter '0' for any kits you don't need.

We will do our best to have the kits ready for you as soon as possible, but ask that you place your order at least a week before kits are needed. We will be able to deliver materials to your organization more quickly than fully constructed kits, if you have the capacity to construct kits or distribute materials individually.

Email *

Name *

Organization *

Preferred Contact Information (phone or email)
*

Distribution Location (city or town)
*

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