Hepatitis Queensland Resource Order Form


This form updated 24 May 2018
Hepatitis Queensland
Mailing Address: Hepatitis Queensland, PO Box 230 RBH, Herston QLD 4029
Street Address: 3/100 Campbell Street, Bowen Hills QLD 4006
info@hepqld.asn.au
Admin: 07 3846 0020, Infoline: 1800 437 222
http://www.hepqld.asn.au
* Many of these items are available for download and printing from our website www.hepqld.asn.au. Alternatively, click the resource names throughout the form below to view the resource in a new window.

* Resources are free but limits apply. You will be contacted first if large orders would incur postage charges.

* Stock items and quantities are subject to current availability and limits apply. If you would like to order larger quantities than specified in this order form please contact us.

* If you require further information, or this resource order form in a different format, please call Hepatitis Queensland on 1300 437 222 Monday to Friday 9am-5pm, visit www.hepqld.asn.au or email info@hepqld.asn.au

* Other resources can also be ordered from other organisations such as Qld Health, Queensland Injectors Health Network (QuIHN), Qld Positive People (QPP), Ethnic Communities Council of Queensland (ECCQ), and Australian Society for HIV Medicine (ASHM). * Please enter the number of copies of each resource required, in the boxes provided below, and click 'Done' at the bottom of this page.

World Hepatitis Day Kits

Order your World Hepatitis Day kits - click here

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* Order your World Hepatitis Day kits - click here

Membership Form

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Hep Factor Newsletter

All previous issues can be downloaded here.

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All previous issues can be downloaded here.

Brochures, Posters & Booklets

Factsheets
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Specialised Resources (Limited Stocks)

DVDs

Delivery Details

Today's Date:

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* Today's Date:

Today's Date:
Date resources are required by:

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* Date resources are required by:

First Name:

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* First Name:

Last Name:

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* Last Name:

Department

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* Department

Organisation

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* Organisation

Address Line 1:

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* Address Line 1:

Address Line 2:

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* Address Line 2:

Suburb/City

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* Suburb/City

Post Code

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* Post Code

Phone Number (include Area Code, and no spaces)

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* Phone Number (include Area Code, and no spaces)

Email Address

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* Email Address

Would you like to be subscribed to our monthly Hepatitis Queensland news emails, if you aren't already?

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* Would you like to be subscribed to our monthly Hepatitis Queensland news emails, if you aren't already?

Special Delivery Comments (if any)

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* Special Delivery Comments (if any)

Do you prefer this online resource order form to ordering via fax, mail, email, or phone?

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* Do you prefer this online resource order form to ordering via fax, mail, email, or phone?

How did you hear about this online ordering of Hepatitis Queensland's resources

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* How did you hear about this online ordering of Hepatitis Queensland's resources

Please enter any comments you may have about this new online resource order form

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* Please enter any comments you may have about this new online resource order form

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