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Live Like Your Life Depends On It

Order FormChronic Disease Consumer Education Campaign

Please indicate quantity for each item and complete the required information at the bottom of the order form. Some of the publications may be customized with your agency logo, in which case DHSS will provide a CD for your print shop and you would be responsible for printing costs and follow-up. Some restrictions may apply.


 
Quantity Requested Stock
No. 		Title        Maximum # of singles or packs  
1066

Brochure (English)
(temporarily out of stock)

250 singles  
1074

Brochure (Spanish)

 20 singles  
   

Posters

    
1067 Eat Smart (English) (single)
 10 singles  
1068 Move More (English) (single)
 10 singles  
1072 Be Tobacco Free (English) (single)
 10 singles  
1073 Get Health Screenings (English) (single)
 10 singles  
1174 Being Active (English) (single) 10 singles  
1175 Breast Cancer (English) (single) 10 singles  
1176 Diabetes (English) (single) 10 singles  
1166 Diabetes (Spanish) (single) 10 singles  
1177 Eating Healthy (English) (single) 10 singles  
1178 Exam Table 1 (English) (single) 10 singles  
1179 Exam Table 2 (English) (single) 10 singles  
1180 Feel Great (English) (single) 10 singles  
1167 Feel Great (Spanish) (single) 10 singles  
1181 Glazed Donuts (English) (single) 10 singles  
1182 Health Failing (English) (single) 10 singles  
1183 Hours of TV (English) (single) 10 singles  
1184 Quit Smoking 1 (English) (single) 10 singles  
1185 Quit Smoking 2 (English) (single) 10 singles  
1084

Top Ten Flyer (100/pack)

 500 singles  
1085

Screening Card (100/pack)

 200 singles  
1091

Screening Card - large print (100/pack)

 300 singles  
   

Message Cards (3.66 x 8.5)(100/pack)

  
1086 Eat Smart (English)
 100 singles  
1087 Move More (English)
 100 singles  
1088 Be Tobacco Free (English)
 100 singles  
1089 Get Health Screenings (English)
 100 singles  
1211 Being Active (English) 100 singles  
1212 Breast Cancer (English) 100 singles  
1213 Diabetes (English) 100 singles  
1214 Eating Healthy (English) 100 singles  
1215 Exam Table 2 (English) 100 singles  
1216 Feel Great (English) 100 singles  
1217 Glazed Donuts (English) 100 singles  
1218 Health Failing (English) 100 singles  
1219 Hours of TV (English) 100 singles  
1220 Diabetes (Spanish) 100 singles  
1221 Feel Great (Spanish) 100 singles  
1090

Magnet Set (single, limit 25)

 25 singles  
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*Contact Persons Name:   Date:
Requestor's Org Name:  Phone Number:
*Shipping Address:  (P.O. Box holders must include street address)
*City:   *State:   *Zip Code:
Email: 
If you have any questions or want a CD to customize materials, contact Jeanie Bryant at the
Missouri Department of Health and Senior Services at (573) 526-9724.
 
 
Allow 2-3 weeks for delivery.   Click "submit" only once, as numerous clicks will result in multiple orders.
  Chronic Disease Consumer Education Campaign