Please fill in this form to order one or more promotional tools. To make sure that we provide you with the format you need and meet the prescribed deadlines, kindly complete all the information necessary for us to create a kit specifically for you.

Association name *	Please provide this information.
Resource person *	Please provide this information.
Email address *	Please provide this information.
Telephone number *	Please provide this information.
Information about the material to be provided
Newsletter – Launch
Format
Language	English   French   Spanish
Publication date
Date material to be received
Newsletter – Reminder
Format
Language	English   French   Spanish
Publication date
Date material to be received
E-banners
Format (width in pixels height in pixels)
Publication date
Date material to be received
Capsules
Number of words
Publication date
Date material to be received

Other – Please specify (Maximum: 600 words)   * Maximum 600 words.