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Publication Request Form

The Office of Child Abuse Prevention would like to share our new education and awareness materials regarding the Safely Surrender Baby program and Shaken Baby Syndrome/Abusive Head Trauma information. If you would like to request copies, please answer the questions below. Due to budget limitations, we may not be able to offer supplemental orders.
1.Contact/Shipping Information(Required.)
2.From the list of brochures below, list the quantity you would like to receive.
3.From the list of posters below, list the quantity you would like to receive.
4.Please describe how you will disseminate the materials.(Required.)
Current Progress,
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