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
$
Free
Quantity
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Becoming a Milk Donor Rack Card - Spanish (25 cards per set)
Free
$
Free
Quantity
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Milk for Inpatients Rack Card English (25 cards per set)
Free
$
Free
4 x 9 inch rack card for inpatient families about pasteurized donor human milk.
Quantity
1
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Milk for Inpatients Spanish (25 Cards per Set)
Free
$
Free
4 x 9 inch rack card for inpatient families about pasteurized donor human milk.
Quantity
1
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Bereavement Brochure - English (25 cards per set)
Free
$
Free
NEW design and updated content. A 4" x 9" trifold card describing options for donating breastmilk after a loss.
Quantity
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Bereavement Brochure - Spanish (25 cards per set)
Free
$
Free
NEW design and updated content in Spanish. A 4" x 9" trifold carddescribing options for donating milk after a loss.
Quantity
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Milk Donor Appreciation Stickers
Free
$
Free
Quantity
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12x12 Shipping Boxes (Bundle of 25)
Free
$
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
$
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
$
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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Blue Shipping Cooler 16 x 16
Free
$
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
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Clear Plastic Bag Liners (bundle of 25)
Free
$
Free
Large, sturdy plastic bag liners - required for all shipments of frozen milk.
Quantity
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1
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Packing Tape - 2 inch roll
Free
$
Free
Fits 2inch Industrial Tape Gun
Quantity
1
Prepaid UPS Label
Free
$
Free
UPS Prepaid Labels are good for 90 days. Please order according to your anticipated need in the next 45 days. After 90 days the label will expire and can't be scanned.
Quantity
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Expedite Labels
Free
$
Free
Expedite labels for shipping boxes (Bundle of 25). Use for all outgoing shipments.
Quantity
1
2
Periship Labels (25 pack)
Free
$
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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