Order Form

Order Form

Please enter your requested quantities and other information. Upon receiving your order, we may contact you for verification. If you have questions, contact the Illinois Public Health Association at (217) 522-5687. Fields marked with * are required.
Information card
Magnet
Palm card
Poster
Presentation folder
* Full Name
*Organization
* Address
* City
* State
* Zip Code
* E-mail Address
* Telephone
How do you plan to use these materials?


Enter Security Code (case sensitive):

Information card.formation card. A 6 x 9 card that communicates basic information about Illinois HIV Care Connect. Perfect to use as a handout at a meeting, conference or presentation.

Magnet. A handy giveaway to remind health care providers, corrections officials and others about Illinois HIV Care Connect services.

Palm card. This wallet-size card provides basic facts about Illinois HIV Care Connect.

Poster. Sized 17 x 22, this poster can be placed in any common area for health care or corrections professionals, be it a hallway, lunchroom or conference room.

Presentation folder. A handy folder to hold various items relating to Illinois HIV Care Connect. Comes with 10 x 13 envelope.