Life Saving Victoria Older Adults Extreme Heat and Water Safety Campaign - Print Pack Order Form

Thank you for ordering these campaign materials.

Each pack contains magnets and glasses straps with messaging, as well as posters and campaign information brochures in English, Greek, Italian, Simplified Chinese, and Vietnamese.

Please use this form to order a print pack of campaign materials to share and display.

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* 1. Organisation name:

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* 2. Name of person receiving the pack:

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* 3. Role of the person receiving the pack:

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* 4. How many packs would you like to receive?

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* 5. What language/s do you need? (Select all that apply)

English

Greek

Italian

Simplified Chinese

Vietnamese

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* 6. Delivery details:

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* 7. Email - this will only be used to contact you should there be any clarifications required with the information provided in the order form.