Tobacco Prevention and Control Program
Order Form

             

If you have questions call 800.280.5512, select option 3.

Enter the quantity wanted for each item and the information requested below and press the "Submit" button at the bottom of the page.

Please limit quantities to 250 per item per quarter and allow 2 to 4 weeks for delivery.

 
Brochure              
NDQuits Brochure    
(Currently unavailable.)   		  NDQuits Pregnancy Brochure        ND Smoke-Free Law Brochure 
               
Patient Information palm card (2.75 x 11)               
NDQuits Smoking      NDQuits Smokeless       Second Hand Smoke    
               
               
Posters              
NDQuits for Tearoffs (8.5x11)   
(2 Tearoff Pads per Poster)		    Use NDQuits (8.5x11)   
  Use NDQuits (11x17)
 
               

Safe Sleep Poster - American Indian (8.5x11)   		      Safe Sleep Poster - General Population (8.5x11)          
               
Other      
20-Minutes foldover card (3x2.5)         Tobacco Education Guide 
    Wallet Card   
                
Tearoff Sheet   
(limit of 2 pads per NDQuits for Tearoffs Poster)		         NDQuits Pocket Guide     

One full sheet of paper folded to
easily fit into a shirt pocket.  
            Great tool for healthcare providers to understand NDQuits services. Also includes information on Nicotine Replacement Therapy (NRT) dosing, reducing nicotine withdrawal symptoms, and comparing the daily costs of NRT to smoking a pack a day. 
Easel for Posters        Smoke Free Vehicle sticker (1.5” x 3”)
    		        
               

                                     

Date:   

Name:    

Business/Health Agency Name:    

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City:      State:   Zip:        

Phone Number:        

Email:    

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If you experience trouble submitting the form online, you can call your order in to the North Dakota Tobacco Prevention & Control Program at 800.280.5512 or 701.328.3398.