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ECHO Materials Order Form

Thank you for helping distribute ECHO information to people with limited English proficiency in your community!  To receive ECHO materials, please answer the following questions:

Name a contact person in your agency who will receive delivery of ECHO materials:

Name:
Agency:
Position:
Street Address (Line 1): *
Street Address (Line 2):
City, State, Zip: *
Phone:
Email: *
* = required field

How many ECHO Brochures do you want mailed to you? 

Think about points of access in your agency and in your community where people with limited English proficiency might pick up schedules, such as clinics, libraries, schools, and ethnic organizations. TV Schedules can be ordered in quantities of 100 copies in a pack.
Language: English Spanish Somali Khmer Lao Hmong Vietnamese
Total copies:

How many ECHO DVDs from the 2007 season do you want mailed to you?
ECHO produces 12 shows on diverse health and safety topics in six languages each year. 

Language: English Spanish Somali Khmer Lao Hmong Vietnamese
Total copies:

Each DVD includes th following shows:
Diabetes Prevention and Control • Family Emergency  Preparedness Plan • Government and You in Emergencies* • Severe Weather Warnings* • Child Safety Seats • West Nile and Lyme Disease* • Early Childhood Screening • Keeping Birds Free of Avian Flu (Backyard Bio-Security) • Calling 9-1-1 in an Emergency • Preventing Seasonal Flu • Winter Safety* • HIV and AIDS Awareness  

*Shows Currently Not Available in English

The cost to produce each DVD is $15. Donations to help defray these costs are appreciated but not required. A 6.5% sales tax will be charged for all DVD purchases unless individuals or organizations are not subject to the sales tax. Please include sales tax exemption number to ECHO with your order.