Organ Donor Awareness Week - Request for Donor Cards / Posters
(Please remember that stock and postage are a cost to the Irish Kidney Association so only order what you are confident that you will use)

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1. Please give your name

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2. Please give your postal address for receiving stock

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3. Please give you email address for contact

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4. Please give details of your plans for Organ Donor Awareness Week:

Event 1:

Date:

Activity:

Venue:

Event 2:

Date:

Activity:

Venue:

Event 3:

Date:

Activity:

Venue:

Event 4:

Date:

Activity:

Venue:

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5. If you are planning to put boxes of organ donor cards in your community, please indicate the location(s)

Local Shop

Credit Union

Pharmacy

Place of Work

Community Facility (Community Centre, Medical Centre, etc.)

Other (please specify)

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6. Donor Cards come in boxes of approximately 70, please indicate the number of boxes you require from the dropdown menu below.

If you need more than 3 boxes, please indicate how many and how you propose to use them.

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7. Posters are available in A4 and A3 sizes, please indicate the quantity of printed posters you require

A4 1 Poster

A3 1 Poster

A4 2 Posters

A3 2 Posters

A4 3 Posters

A3 3 Posters

If you need more than 3 posters or multiple sizes, please give details here

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8. Electronic resources (posters, social media resources) are available on the IKA website (http://www.ika.ie/donorweek).Please indicate how you will be making use of them. When posting on social media, please make sure you use the campaign hashtags #LeaveNoDoubt #DonorWeek25)

Organ Donor Awareness Week - Request for Donor Cards / Posters(Please remember that stock and postage are a cost to the Irish Kidney Association so only order what you are confident that you will use)

Question Title

* 1. Please give your name

Question Title

* 2. Please give your postal address for receiving stock

Question Title

* 3. Please give you email address for contact

Question Title

* 4. Please give details of your plans for Organ Donor Awareness Week:

Question Title

* 5. If you are planning to put boxes of organ donor cards in your community, please indicate the location(s)

Question Title

* 6. Donor Cards come in boxes of approximately 70, please indicate the number of boxes you require from the dropdown menu below.

Question Title

* 7. Posters are available in A4 and A3 sizes, please indicate the quantity of printed posters you require

Question Title

* 8. Electronic resources (posters, social media resources) are available on the IKA website (http://www.ika.ie/donorweek).Please indicate how you will be making use of them. When posting on social media, please make sure you use the campaign hashtags #LeaveNoDoubt #DonorWeek25)

Organ Donor Awareness Week - Request for Donor Cards / Posters
(Please remember that stock and postage are a cost to the Irish Kidney Association so only order what you are confident that you will use)

1. Please give your name

2. Please give your postal address for receiving stock

3. Please give you email address for contact

4. Please give details of your plans for Organ Donor Awareness Week:

5. If you are planning to put boxes of organ donor cards in your community, please indicate the location(s)

6. Donor Cards come in boxes of approximately 70, please indicate the number of boxes you require from the dropdown menu below.

7. Posters are available in A4 and A3 sizes, please indicate the quantity of printed posters you require

8. Electronic resources (posters, social media resources) are available on the IKA website (http://www.ika.ie/donorweek).Please indicate how you will be making use of them. When posting on social media, please make sure you use the campaign hashtags #LeaveNoDoubt #DonorWeek25)