TIPH Stickers
Request Form
Please fill out the request form.
(
*
required
)
Create your own "This Is Public Health" campaign!
Allow 2-3 weeks for delivery of stickers. Please consider that stickers are easily removable and can be re-used when submitting your request.
Confirmation will be sent to the email address provided when your request is received.
First Name:
*
Last Name:
*
Organization:
Address Line 1:
*
Address Line 2:
Address Line 3:
City:
*
State/Province:
*
Zip/Postal code:
*
Country/Territory:
*
(if not United States)
Email Address:
*
(e.g. 123@yahoo.com)
Confirm Email Address:
*
THIS IS PUBLIC HEALTH stickers:
#of Small stickers:
(2 ¾ inches long)
# of Medium stickers:
(4 ¾ inches long)
# of Large stickers:
(8 ½ inches long)
ESTO ES SALUD PUBLICA stickers:
#of Small stickers:
(2 ¾ inches long)
# of Medium stickers:
(4 ¾ inches long)
# of Large stickers:
(8 ½ inches long)
not available
not available
Tell us how you are planning on using the stickers?
*
