FAX BACK ORDER FORM
Emergency Contraception Hotline Materials
The following materials can be ordered at no charge while supplies last by faxing this form to the Association of Reproductive Health Professionals (ARHP) . Please call if you have any questions about the materials.
General Materials:
_____ Wallet cards (English)
_____ Laminated “receptionist telephone protocol” cards (English)
_____ Postcards of the condom
8 1/2″ x 11″ public service announcements (PSAs)
_____ of the telephone
_____ of the pill pack
_____ of the condom
Posters
_____ of the condom
_____ of the telephone
New! Materials for Diverse Audiences:
African-American Communities
_____ Brochures
_____ Postcards
_____ Posters
Spanish-Speaking Communities
_____ Spanish Wallet Cards
_____ Spanish Laminated “receptionist telephone protocol” cards
Visit the ARHP website at http://www.arhp.org
Please send these materials to:
Name ________________________________
Organization ________________________________
Address ________________________________
________________________________
Phone ________________________________