RxART Coloring Book Donation Requests
The RxART Coloring Book is created to be donated to hospitals far and wide! Please complete this form to help us get more coloring books to children in hospitals.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Hospital/Affiliate Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
How did you hear about us?
*
Please Select
Instagram/Social Media
Internet
FIGS
Word of Mouth
Other (Please specify...)
Other
*
What department are you requesting these for? (must be pediatric focused)
*
Coloring Book Pick-up (in NYC) or Delivery
*
Pick-Up at RxART Storage (Lower Manhattan)
Delivery (Pay to Ship)
Will you be willing to recommend us?
Yes
Maybe
No
My Products
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Between the Lines, Volume 9 of the RxART Coloring Book
Quantity = 1 box (44 books) Limit of 22 boxes per request.
$
Free
Quantity
Submit
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