Teen Vaping Materials Order Form



Free Materials To Help Teens Quit Vaping and using TobaccoOrder Form Available from the PA Department of Health Ship To: NameCompany NameStreet Address City, State, Zip Code Phone Number Email________________________________________________________________________________________________________________________________________________________________PostersSmall 8.5”x11”Large11”x17”TotalTeens JumpingPiggy BankVaping CigaretteYoung Man WalletJogging GirlCDC Brain posterAll-poster pack (6 pack)Total3552825206375 00 9583420575310000 MyLifeMyQuit 3.5”x8.5”Rack CardTotal-76203000375002630170117221000-76202234565To order, email this form to: RA-DHPAFREEQUITLINE@4000020000To order, email this form to: RA-DHPAFREEQUITLINE@ ................
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