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

Please allow up to 30 days for delivery.

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 bulk orders over 100, specify your need in the comments field below.

Comments:

Poison Re-Sticks (limit 100)

Quantity:

The Poison Re-Sticks are a multi-purpose material that sticks to nearly all surfaces, is removable/reusable and does not leave a sticky residue on surfaces.

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.