Quit Smoking Products
Ordering Information
Call or mail the order forms below to:
AHRQ
P.O. Box 8547
Silver Spring, MD 20907-8547
1-800-358-9295
| Name: |
| Street: |
| City, State, Zip: |
| Telephone: |
| E-mail: |
Please send me the following publications:
| Pub. No. |
Title |
Cost1 |
Quantity |
Total |
| AHRQ 02-0049 |
Consumer Guide, Good Information for Smokers (English) |
100 free/$35.00/100 |
|
$ |
| AHRQ 03-0005 |
Consumer Guide, Good Information for Smokers (Spanish) |
100 free/$35.00/100 |
|
$ |
| AHRQ 00-0033 |
Consumer Guide, You Can Quit Smoking (English) |
100 free/.15 ea |
|
$ |
| AHRQ 00-0046 |
Consumer Guide, You Can Quit Smoking (Spanish) |
100 free/.15 ea |
|
$ |
| AHRQ 02-0048 |
5-Day Countdown Flip Book (English) |
100 free/$35.00/100 |
|
$ |
| AHRQ 03-0045 |
5-Day Countdown Flip Book (Spanish) |
100 free/$35.00/100 |
|
$ |
| AHRQ 03-0044 |
Hospital Card, Quitting Helps You Heal Faster
(English/Spanish) |
100 free/$35.00/100 |
|
$ |
| AHRQ 02-0047 |
You Can Quit Smoking Card (English) |
100 free/$35.00/100 |
|
$ |
| AHRQ 03-0006 |
You Can Quit Smoking Card (Spanish) |
100 free/$35.00/100 |
|
$ |
| AHRQ 00-0056 |
Red Poster (English) |
25 free/$2.00 ea |
|
$ |
| AHRQ 00-0059 |
Red Poster (Spanish) |
25 free/$2.00 ea |
|
$ |
| AHRQ 03-0023 |
You Can Quit Smoking Kit |
1 free |
|
$ |
(25% discount on any purchase over 200 copies)
|
|
$ |
1Payment may be made via credit card (Visa/Mastercard) or make checks payable to PPIP.
___ Visa ___ MasterCard
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___
Expiration Date
Thank you for your order.
Current as of September 2003
Internet Citation:
Ordering Information for Quit Smoking Products. Consumer Order Form. U.S. Public Health Service. http://www.surgeongeneral.gov/tobacco/consorder.htm
Return to You Can Quit Smoking Consumer Kit
Tobacco Cessation Guideline Index
Department of Health and Human Services