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HIV/AIDS Printed Materials Order Form

Complete the information below and indicate quantity of each item ordered.

NOTE: Your total order cannot exceed 500 items. Availability is limited to New Jersey shipping addresses only.

* Required Fields
* Agency:
* Address:
* City: * State: * Zip:
* Contact Person:
* Email:
* Phone:
Fax:
Date Needed : (eg: 01/01/2001)
Title Format English Quantity Spanish Quantity
MATERIALS ON HIV TESTING AND GENERAL INFORMATION ON HIV
HIV and AIDS Information You Need to Know booklet 50 100 50 100
HIV and Other STDs—Stop Wondering Get Tested pamphlet 50 100 50 100
HIV Testing—Get the Facts pamphlet 50 100 50 100
Rapid HIV Testing—Why Wait to Find Out pamphlet 50 100 50 100
 
MATERIALS FOR WOMEN
A Healthy Pregnancy and HIV Testing pamphlet 50 100 50 100
Protect Yourself from HIV—For Women pamphlet 50 100 50 100
Sisters Talk About HIV—Alma’s Story booklet 50 100 50 100
 
MATERIALS FOR MEN
Keep Free From HIV—For Men pamphlet 50 100  
Brothers Talk About HIV—Manuel’s Story booklet 50 100 50 100
 
MATERIALS ON SAFER SEX
Better Sex Healthy Sex Pamphlet 50 100  
Hot Sex Healthy Sex Pamphlet 50 100  
It’s Your (Sex) Life: Your Guide to Safe and Responsible Sex booklet 50 100  
 
MATERIALS FOR PEOPLE LIVING WITH HIV
Following Your Plan—HIV Positive Choices Pamphlet 50 100 50 100
Healthy Eating—For People with HIV booklet 50 100 50 100
When It’s Time to Tell—Disclosing HIV+ Status Pamphlet 50 100 50 100
 
MATERIALS FOR YOUTH
About HIV and AIDS booklet 50 100 50 100
My Brother Got AIDS booklet 50 100  
 
MATERIALS FOR ADOLESCENTS
HIV And AIDS—Knowing What’s True and False Pamphlet 50 100  
 
MATERIALS FOR INJECTING DRUG USERS
Safer Works pamphlet 50 100  
   


This order will be completed by an independent vendor who will process it within 10 business days. Should you fail to receive your order within ten business days, please contact the Prevention and Education Unit of the Division of HIV/AIDS Services at 609-984-6050.

 

Page maintained by HIV/AIDS Services, PO Box 363, Trenton, NJ 08625-0363. Call New Jersey AIDS/STD Hotline at 800-624-2377 with your questions regarding HIV/AIDS or email.

Department of Health and Senior Services
P. O. Box 360, Trenton, NJ 08625-0360
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Last Modified: Tuesday, 17-Feb-09 14:18:23