PAD-Order-Form-2013 - Parent Action on Drugs

Order Form
PAD Parent Action on Drugs
See www.parentactionondrugs.org/program-resources for descriptions of our products
Single copies of some resources are available free of charge. Please complete
Comp. Copy column to receive your copy.
YOUTH ENGAGEMENT PROGRAMS
Hook Up to Breast Cancer Prevention
Hook Up Caring Women pamphlet
Hook Up To The Facts brochure
Hook Up poster
Hook Up Backgrounder
Hook Up Scratch Cards (in bundles of 25)
Hook Up buttons
PASS It On (Peer, parties And Senior Students)
Taking Charge: Young Women, Alcohol and Sexual Assault Toolkit
Taking Charge Poster
Taking Charge Keychain
Taking Charge Parent Brochure
Whats with Weed (WWW) program delivery package
What’s with Weed DVD
YM² (Young Moms to Young Moms)
YM2 Peer Ambassador Presentation Package with Manual
Young, Pregnant and in Control: Making Healthy Choices for You and Your Baby
Young Moms Are Moving Forward poster
Phenomenal Woman poster
YM2YM Drug Quiz (comes in a set of 30)
RESILIENCY-BUILDING PROGRAMS AND RESOURCES
Building Resilient Youth brochures
SFPY (Strengthening Families for Parents and Youth)
SFPY Program Implementation Set (Binder  Bound)
SFPY Manual
(Binder Bound)
SFPY Pocket Portfolios (set of 15)
SFPY Model for Raising Resilient Youth Poster (11x17”)
SFPY Magnets (set of 15)
SFPY Pens (set of 15)
SFPY Family Meeting Whiteboards with markers
SFPY Teen Time rulers (set of 15)
RESOURCES FOR YOUTH AUDIENCES
For the Record Video (edited version with swearing removed) and Guide
For the Record Video (original version) and Guide
Hook Up to the Facts: Young women and breast cancer preventions
If You Are a Girl brochure
Party Safely pamphlet
Test Your Alcohol I.Q. brochure
Young, Pregnant and in Control: Making Healthy Choices for You and Your Baby
RESOURCES FOR PARENT AUDIENCES
An Early Start pamphlet
Building Resilient Youth brochure
Is a teenage girl you care about at risk for breast cancer? pamphlet
PAD Parent & Community Handbook REVISED 7th edition
Parent Action Pack brochure NEW
True or False brochure
When You Have Concerns… brochure
Young Women, Alcohol and Sexual Assault: Why Mothers are the Last to Know brochure
Shipping and Handling (please see reverse)
TOTAL OWED (HST is not applicable)
Cost
10¢
10¢
20¢
10¢
$1.00
25¢
$5.00
$10.00
$1.00
25¢
20¢
$10.00
$5.00
$10.00
15¢
25¢
25¢
$5.00
Quantity
Comp.
English French Copy
Subtotal
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40¢
$350
$65
$5.00
50¢
$5.00
$10.00
$1.00
$5.00
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$10.00
$10.00
10¢
10¢
10¢
Free
15¢
n/a
n/a
25¢
40¢
10¢
75¢
Free
25¢
25¢
20¢
Order Form
Shipping costs will be added to all order, on a per case basis. For information about costs or ordering
assistance please email [email protected] or call 416-395-4970 / 1-877-265-9279. To charge a
Purolator account, please provide information below.
 Charge Purolator account #_____________________.
SHIPPING INFORMATION Please allow 4-6 weeks for delivery. For urgent orders, contact our office.
Shipping Address
Contact name:
Position/Title:
Organization:
Street Address:
City:
Province:
Email:
Postal Code:
Phone: (
)
Billing address (if different than above)
BILLING/PAYMENT INFORMATION
Card Number:
Expiry date:
Cardholder Name (please print):
Cardholder Signature:
Payment method:  Cheque  VISA Card  MasterCard
 American Express  Cash  Invoice
Order forms can be
 Emailed to [email protected];
 Faxed to 1-866-591-7685; or
 Mailed to our office at 7 Hawksdale Road, Toronto, ON M3K 1W3
Please note that some resources are available in printable format on our website at
www.parentactionondrugs.org/program-resources