Outreach Materials Order Form

Outreach 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



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? Please note that KidCare's only office is located in Tallahassee, Florida.*

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.
Please acknowledge that paper KidCare marketing materials are always provided free of charge. However, all other items are subject to shipping costs. In order to process your order, a shipping account number must be included. Thank you!*

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