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Avian Influenza Booklet Order Form

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For what audience will you be using this booklet?	-- Please Select -- Federal government employees/contractors State or local government employees/contractors Private sector contractors Other
In what state is the training being done?	-- Please Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
How will it be used?	-- Please Select -- It will be distributed for reference purposes only It will supplement existing worker training
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Ship To: (Check here if shipping address is the same as above.)
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Please Note: products will be shipped via UPS standard ground. Shipment takes approximately 3 days to arrive. UPS does NOT ship to Post Office boxes.
Shipping Method: (Check one) I understand the booklets will be shipped via ground delivery at no cost to me. I need the booklets delivered sooner and will call 202-331-7733 to provide a shipper number and pay for shipping myself.
Avian Influenza Booklet Request Qty: Avian Influenza Booklet - English Protecting Yourself from Avian Influenza - Size: 4" x 5", color cover, B&W interior, English
Avian Influenza Booklet Request Qty: Avian Influenza Booklet - Spanish Cómo protegerse de la gripe aviar - Size: 4" x 5", color cover, B&W interior, En Espanol

This page URL: http://tools.niehs.nih.gov/wetp/booklet/index.cfm
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Last Reviewed: 12 March 2008