Tobacco Prevention and Cessation Materials Order Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Order the materials below to share in your community!

Email *

Your Name *

Your Phone Number *

Organization Name *

Organization Street Address *

Organization Town/City *

Organization ZIP Code *

Please select 3 or 6 of each version of the More Good Mornings youth prevention campaign posters (12x18"):

3 copies "You can handle hard things without substances."

6 copies "You can handle hard things without substance."

3 copies "Learn coping strategies that won't hurt you."

6 copies "Learn coping strategies that won't hurt you."

3 copies "I avoid smoking and vaping for my mental health."

6 copies "I avoid smoking and vaping for my mental health."

Other:

Clear selection

Please select the amount of Dear Me: I'm Ready Rack Cards you wish to have sent to you from the list below:

100

Clear selection

Please select the amount of Adult Vaping Rack Cards you wish to have sent to you from the list below:

100

Clear selection

Please select the amount of Dear Me: I'm Ready Post Cards you wish to have sent to you from the list below:

out of stock

Clear selection

Please select the amount of QuitNow-NH Rack Cards you wish to have sent to you from the list below:

100

Portuguese Rack Cards

English Rack Cards

Clear selection

Please select the amount of QuitNow-NH Posters (8.5"x11") you wish to have sent to you from the list below:

English Posters

Portuguese Posters

Spanish Posters

Clear selection

Please select the amount of You CAN Quit booklet(s) you wish to have sent to you from the list below:

100

Clear selection

Please select the amount of Save Your Breath (SYB) Posters (11"x17") you wish to have sent to you from the list below:

Out of stock - please see More Good Mornings posters above

Clear selection

Please select the amount of Save Your Breath (SYB) Posters (11"x17") you wish to have sent to you from the list below:

Out of stock - please see More Good Mornings posters above

Clear selection

Please select the amount of My Life My Quit Poster (purple) (11"x17") you wish to have sent to you from the list below:

Spanish Poster

English Poster

Clear selection

Please select the amount of My Life My Quit Poster (yellow/green) (11"x17") you wish to have sent to you from the list below:

Spanish Poster

English Poster

Clear selection

Please select the amount of What's In Your Vape Posters (11"x17") you wish to have sent to you from the list below:

Spanish Poster

English Poster

Clear selection

Please select the amount of My Life, My Quit (MLMQ) Youth Business Cards you wish to have sent to you from the list below:

100

English Youth Business Card

Spanish Youth Business Card

Clear selection

Please select the amount of My Life, My Quit (MLMQ) Parent Business Cards you wish to have sent to you from the list below:

100

200

English Parent Business Card

Spanish Parent Business Card

Clear selection

Please select the amount of My Life, My Quit (MLMQ) Rack Cards you wish to have sent to you from the list below:

100

English Rack Cards

Spanish Rack Cards

Clear selection

Please select the amount of My Life, My Quit (MLMQ) QR Code Stickers you wish to have sent to you from the list below:

Other:

Clear selection

Additional Comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of JSI Research & Training Institute Inc.

Does this form look suspicious? Report

Forms