Rabies Materials Order Form

The NYSDOH offers limited quantities of free rabies educational materials to NYS residents and organizations.*
To order, complete form and submit by email, fax, or mail.
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Email address: [email protected]
Fax number: (518) 473-4439
Mailing address:
NYSDOH – BCDC
ESP, Corning Tower, Rm 651
Albany, NY 12237-0627
Please allow 2 to 3 weeks for delivery.
Last Revised March 7, 2013
-------------------------------------------------------------------------------------------------------------------------------------------------------ITEM #
(Circle)
TITLE (and language if other than English)
TYPE
QUANTITY
(Circle)
3002
3012
3019
3020
3021
3023
3025
3027
3029
3030
PP18
Protect Your Cat Against Rabies!
Rabies (Spanish)
Rabies: It’s No Way For a Friend to Die
Rabies: It’s No Way For a Friend to Die Poster
Protect Your Pet–Vaccinate Against Rabies
Bat Rabies Alert
Don’t Touch Me
Don’t Touch Me
Don’t Touch Me (Spanish)
Bat Rabies Alert (Spanish)
Catch the Bat!
Flier (8-1/2” x 11”)
1 10 25
Bookmark
1 10 50 100 200
Poster (Husky and cat)
1 10 50 100 200
(Retriever and cat)
1 10 50 100 200
Poster (Cat and dog)
1 10 50 100 200
Magnet
1 50 100 200 300
Sticker (Bat)
1 50 100 200 300
8-1/2 x 11 Laminated Sheet (Bat)
1 50 100 200 300
Sticker (Bat)
1 50 100 200 300
Magnet (Bat)
1 50 100 200 300
DVD (1:25 minute)
1 2 3 4 5
Please complete legibly. Illegible or incomplete information will affect the ability to send your requested
materials.
Requestor’s Name: ______________________________________________________________
Organization: _________________________________________________________
Street Address: ________________________________________________________
(Note: no delivery to Post Office Boxes)
City/State/Zip: ________________________________________________________
Telephone Number: (____) ______________________________
Email Address: ________________________________________________________
Date of order: __________________________
To order free NYSDOH educational materials on:
• Lyme disease and tick-borne diseases, go to www.health.ny.gov/forms/order_forms/tick.pdf
• West Nile virus and other mosquito-borne diseases, go to
www.health.ny.gov/forms/order_forms/west_nile_virus.pdf
• Other health matters, go to www.health.ny.gov/publications/4208/
*To make sure this is the most up-to-date rabies materials order form, go to
www.health.ny.gov/forms/order_forms/rabies.pdf