Marketing Materials Order Form

Marketing Materials Order Form

Florida KidCare provides FREE* paper products and promotional items to help you tailor your outreach efforts and better reach the communities you serve.

Florida KidCare items can:
- Help you identify and encourage potential enrolles to ask program questions or even, apply for coverage
- Serve as an enticement to get people to stop and talk at events
- Encourage pass-along readership, meaning it may be handed off and shared with more than just the person you interacted with
*Shipping fees apply for promotional items. You MUST include Fedex or UPS account information below in order to receive promotional items.
Check the box in the left-hand corner to select the item(s) you'd like to receive and indicate the quantity below:
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Applications - English*No shipping fee
$ Free Quantity



Applications - Spanish*No shipping fee
$ Free Quantity



Applications - Creole*No shipping fee
$ Free Quantity



Bookmarks*No shipping fee
$ Free Quantity



Brochures - English*No shipping fee
$ Free Quantity



Brochures - Spanish*No shipping fee
$ Free Quantity



Brochures - Creole*No shipping fee
$ Free Quantity



PostcardsDual-sided, English and Spanish *No shipping fee
$ Free Quantity



Band-Aid Dispensers*Shipping fees apply
$ Free Quantity



Cups*Shipping fees apply
$ Free Quantity



Hand Sanitizers*Shipping fees apply
$ Free Quantity



Pencils*Shipping fees apply
$ Free Quantity



Toothbrushes*Shipping fees apply
$ Free Quantity



Pens*Shipping fees apply
$ Free Quantity



Total

$0.00
Date Materials Needed (Please allow at least 10 business days)

MonthDayYear
Date
Would you like to pick up these items or have them shipped to you*

Pick upShipped
Organization Name*
Contact Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide your carrier account number for shipping
(FedEx or UPS account information)
Is this a UPS or FedEx account?

UPSFedEx
Shipping Location Type*

Commercial AddressResidential Address
Special Instructions
Please specify any special order requests or delivery instructions.
Should be Empty: