LATCH Materials Request Form

Help Promote LATCH Resources
Help us get LATCH into the hands of families who need it.

Fill out the form below to request promotional materials for your organization. Supplies are limited, so we recommend submitting your interest as soon as possible. A member of the CBC team will follow up to confirm your mailing address before anything ships. Filling out this form doesn't guarantee materials we'll do our best to match requests to what's available.
Point of Contact Name

First NameLast Name
Email
N/A if not applicable
Phone Number
Please type N/A if this does not apply to you
Organization/Hospital Name
N/A if you or your organization does not have one
Organization Type
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Attention to/ Department
Best Method to confirm shipping
Approximate Number of Families Served Annually
What Materials Would You Like Us to Send
Should be Empty:

Help Promote LATCH Resources