LIVE.LONG.DC. Materials Order Form

LIVE.LONG.DC. Materials Order Form

Request outreach and educational materials for your organization. Orders are generally processed within 2 business days, and are shipped via USPS within 5-7 business days. For questions on overdose prevention education materials or naloxone access, please email naloxone@dc.gov.
Requester & Delivery Details

Materials can only be shipped within DC
Contact Name

First NameLast Name
Organization Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shipping Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Organization
Requested Delivery Date

MonthDayYear
Delivery orders must be at least 5 business days from Order date. If you need an order sooner, please email naloxone@dc.gov. For questions or updates about your delivery request, please email LLDC@vancomm.com.
Special Instructions
Naloxone
Naloxone Units
Maximum of 24 units per order. If your organization needs additional naloxone, please contact naloxone@dc.gov.
Naloxone Boxes (12 units per box; max. of 2 boxes per order)
Restaurant Kits (Naloxone and educational materials in English and Spanish)
Promo Materials
Box Stickers
Don't Use Alone Palm Cards
Don't Use Alone Posters
How to use Naloxone Palm Cards (English)
How to use Naloxone Palm Cards (Spanish)
How to Use Naloxone Door Hangers
Fentanyl Palm Cards
Fentanyl Posters (English)
Fentanyl Posters (Spanish)
Take Away Cards (English)
Take Away Cards (Spanish)
Take Away Cards (Korean)
Take Away Cards (Amharic)
Should be Empty:

LIVE.LONG.DC. Materials Order Form

Requester & Delivery Details

Naloxone

Promo Materials