REQUEST CLASSROOM POSTERS
All fields are required.
Requested # of posters
10
15
20
25
30
35
40
45
50
Organization
Number of Students/Members
Type of Organization:
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School
Day Care
Camp
Health Center
or Other (please specify):
Is the School or Organization peanut free?
YES
NO
How will the posters be used?
Name of person approving poster request:*
I certify that these posters are being requested by or on behalf of the Director or Manager named above and will be used strictly for education and awareness activities for the benefit of the entire organization and community.
Your Full Name*
Organization Phone Number*
(please include area code)
Your e-mail address*
MAILING ADDRESS:
Address 1*
Address 2
City*
Province/State*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Northwest Territories and Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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Alabama
Alaska
Arizona
American Samoa
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Country
Canada
United States
Postal Code*