Hepatitis Queensland Resource Order Form

Hepatitis Queensland Resource Order Form

 

This form updated 19 December 2013.
Hepatitis Queensland
Mailing Address: Hepatitis Queensland, PO Box 3490, South Brisbane QLD 4101
Street Address: Suite 2, 12 Cordelia Street, South Brisbane QLD 4101 Australia
info@hepqld.asn.au
Admin: (07) 3846 0020, Infoline: 1800 648 491, Fax: (07) 3844 8065
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, Qld Positive People, Ethnic Communities Council of Queensland, and Australian Society for HIV Medicine. * Please enter the number of copies of each resource required, in the boxes provided below, and click 'Done' at the bottom of this page.

Membership Form
Hep Factor Newsletter
World Hepatitis Day 2013 Kit (no longer available--stay tuned for WHD 2014 kits)

Brochures and Booklets

CALD, Indigenous and Other Language Brochures

CALD, Indigenous and Other Language Brochures

Postcards and bookmarks

Postcards

Factsheets

Factsheets

Specialised Resources (Limited Stocks)

Pocketbooks

Pocketbooks

Posters

Posters

DVDs

DVDs

Delivery Details

*
Today's Date:
DD MM YYYY
Today's Date:
/
/
Date resources are required by:
First Name:
Last Name:
Department
Organisation
*
Address Line 1:
Address Line 2:
*
Suburb/City
*
State
*
Post Code
Phone Number (include Area Code, and no spaces)
Email Address
*
Would you like to be subscribed to the C-network to receive fortnightly Hepatitis Queensland news emails, if you aren't already?
Special Delivery Comments (if any)
*
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
Please enter any comments you may have about this new online resource order form
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