To order the DOH publications contained in this package, please send your order to: NYS Department of Health Distribution Center 21 Simmons Lane, Menands, NY 12204 Fax it to: 518-465-0432; or e-mail: [email protected] All items are available FREE of charge for New York State residents or businesses. Please allow at least three (3) weeks for delivery. Publication Name # Circle Quantity Sports Concussion Parents Fact Sheet English Spanish #3278 #3282 1 1 25 25 Sports Concussion Coaches Fact Sheet #3279 1 25 Sports Concussion Poster #3281 1 5 10 Coach’s Sports Concussion Clip Board #3277 1 5 10 Sports Concussion Locker Magnet #3280 1 25 50 50 50 50 100 200 100 200 100 200 100 200 ---------------------------------------------------------------------------------------------------------------------------------- Requester Information Bulk orders cannot be delivered to P.O. Box numbers. Name: ______________________________________________________ Date: __________ Organization: ________________________________________________________________ Telephone # ( Address: ) __________- _________________ ________________________________________________________________ ________________________________________________________________ City/State/Zip:________________________________________________________________
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