Milk Drop Supply Order Form
Milk Drop Location
*
Contact Person
*
Prefix
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Supply List
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Becoming a Milk Donor Rack Card - English (25 cards per set)
$
Free
Quantity
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Becoming a Milk Donor Rack Card - Spanish (25 cards per set)
$
Free
Quantity
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10
Milk for Inpatients Rack Card English (25 cards per set)
$
Free
4 x 9 inch rack card for inpatient families about pasteurized donor human milk.
Quantity
1
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5
Milk for Inpatients Spanish (25 Cards per Set)
$
Free
4 x 9 inch rack card for inpatient families about pasteurized donor human milk.
Quantity
1
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5
Bereavement Brochure - English (25 cards per set)
$
Free
Quantity
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10
Bereavement Brochure - Spanish (25 cards per set)
$
Free
Quantity
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10
Milk Donor Appreciation Stickers
$
Free
Quantity
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12x12 Shipping Boxes (Bundle of 25)
$
Free
Boxes arrive flattened. Use with Foil liners and plastic bag liners. Note: WILL NOT FIT Blue Shipping Coolers.
Quantity
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1
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12x12 Liners (silver tubes) (case of 20)
$
Free
Used with 12 x 12 shipping boxes and plastic bag liners only.
Quantity
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1
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Blue Shipping Cooler 13 x 13
$
Free
Blue Insulated coolers are reserved for Central and Eastern Washington, Idaho, and Montana milk drop locations only. Used with 13 x 13 x 13 boxes and plastic bag liners. Holds 150-250 ounces of frozen milk. Arrives in reusable cardboard box.
Quantity
1
2
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4
Blue Shipping Cooler 16 x 16
$
Free
Blue Insulated coolers are reserved for Central and Eastern Washington, Idaho, and Montana milk drop locations only. Used with 16x 16 x 16 boxes and plastic bag liners. Holds 250-500 ounces of frozen milk. Arrives in reusable cardboard box.
Quantity
1
2
3
4
Clear Plastic Bag Liners (bundle of 25)
$
Free
Large, sturdy plastic bag liners - required for all shipments of frozen milk.
Quantity
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Packing Tape - 2 inch roll
$
Free
Fits 2inch Industrial Tape Gun
Quantity
1
Expedite Labels
$
Free
Expedite labels for shipping boxes (Bundle of 25). Use for all outgoing shipments.
Quantity
1
2
Periship Labels (25 pack)
$
Free
Periship labels should be used for all milk shipments. Placed on outside of box to alert UPS drivers of perishable contents.
Quantity
1
2
Special Instructions
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