Sanford Health Poison Control

Materials Order Form

Order Bulk Materials

To order education materials, please complete this form. Materials are provided at no cost.
*= required field

Order Date:

* First name:

* Last name:

Organization Name (if applicable):

* Mailing Address:

P.O. Box / Suite#:

* City:

* State:

* Zip Code:

* County:

* Phone:

* Email:

* Organization Type:

Event or Activity Name (if applicable):

Event Date (if applicable):

Available Materials

Please select one or more of the following, including the quantity. For agencies and organizations with recurring events or activities, we do encourage bulk orders. If you would like to order a larger item amount, please provide a brief description of what the materials will be used for in the comment box below and enter the quantity you’ll need.

Comments:

Magnet
(limit 100)

Quantity:

Sticker
(limit 100)

Quantity:

Your order confirmation number is:
Please write down your confirmation
number for future reference

Thank you for completing this form!

Please contact the Sanford Poison Education Center at 605-328-6670 or email poisoncenter@sanfordhealth.org if you have trouble submitting this form.