Please complete this form by 7/01 to request printed COVID-19 materials be mailed to your organization. Contact Haley@azaap.org with questions. AzAAP staff will confirm receipt of this information and notify you when your materials have shipped. *limited quantities - while supplies last

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* 1. Organization Name

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* 2. Contact Name (first and last):

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* 3. Contact Email:

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* 4. Phone:

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* 5. Mailing Location

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* 6. Please select which 8X11 inch printed materials you are requesting.

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* 7. Please input the quantity of each printed material you would like shipped. (Maximum 50 copies total)

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