Request edit access
Vera House Brochure & Poster Request Form
Please complete your request for materials below. Please refer to the Vera House website to view samples of each material:
To help save on shipping expenses: FOR LARGE ORDERS we kindly ask that you coordinate pick up from our office whenever possible. Address is 723 James St., Syracuse, NY 13203
PLEASE NOTE: Requests for materials OUTSIDE ONONDAGA COUNTY (or the surrounding area) cannot be accommodated as our materials contain local (and state) resource information.
If you would like information on duplicating these materials in your area, please contact Colleen O'Brien at
or (315) 425-0818 x 2243.
I will pick up my materials on (allow 2 business days for processing):
I am unable to arrange pick up. (NOTE: large quantities cannot be mailed and must be picked up at our James St office). Please mail to:
Business/Organization (if applicable)
Is it safe to contact you via email or phone if questions arise?
I would like materials in the following language(s) (if available):
English & Spanish
Brochures requested (select all that apply):
Vera House General Agency Brochure
Emotional & Verbal Abuse
It Happens to Men, Too!
Men. Lead by Example.
Syracuse Area Service Directory
How many of each brochure would you like?
Family Violence (with tear-off sheets)
How many posters would you like?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service