Order Materials Form

Washington Poison Center prevention and education materials are FREE and available to Washington State residents. Quantities are limited. If you need further help to complete this form, please contact: materials@wapc.org.

Name*
First Last
Organization name (write NONE if not applicable)*
Email*
Phone*
Address/Billing Address*
Street Address Address Line 2 City State ZIP Code
Ship to the billing address?*
- Yes
- No
Your Washington State County (i.e. Snohomish, Spokane, Clark)*
Shipping Address if Different from Above*
Street Address Address Line 2 City State ZIP Code
To order materials, please choose from one of the following:
- Personal Home/Family
- Public Health Districts
- Hospitals and Primary Care Clinics
- Schools (Preschool-High School)
- Community Organizations
HOME AND FAMILY USE - YUK PAK
- YUK PAK for home and family use
The Yuk Pak includes: a Mr. Yuk magnet, 2 sheets of Mr. Yuk stickers, Mr. Yuk First Aid Tips wallet card, and a current Seasonal Health Alert.
PROFESSIONAL/ORGANIZATIONAL USE - Mr. Yuk Stickers (10 stickers per sheet)
Price: $0.00 Quantity:
Quantities are limited.
PROFESSIONAL/ORGANIZATIONAL USE - Spanish Mr. Yuk Stickers (10 stickers per sheet)
Price: $0.00 Quantity:
Quantities are limited.
PROFESSIONAL/ORGANIZATIONAL USE - Mr. Yuk Magnet - 1.75 inch
Price: $0.00 Quantity:
PROFESSIONAL/ORGANIZATIONAL USE - Mr. Yuk Magnet - 5 inch
Price: $0.00 Quantity:
PROFESSIONAL/ORGANIZATIONAL USE - Mr. Yuk First Aid Card
Price: $0.00 Quantity:
Wallet-sized folding first aid card with tips about what to do in case of a poisoning or toxic exposure.
PROFESSIONAL/ORGANIZATIONAL USE - Washington Poison Center Medications Brochure
Price: $0.00 Quantity:
A tri-fold brochure with tips about medicine safety and preventing unintentional medication errors.
PROFESSIONAL/ORGANIZATIONAL USE - Washington Poison Center Older Adults Brochure
Price: $0.00 Quantity:
A tri-fold brochure with helpful information about how to keep older adults safe from poisonings and toxic exposures.
PROFESSIONAL/ORGANIZATIONAL USE - Washington Poison Center Plant Brochure
Price: $0.00 Quantity:
A tri-fold brochure that includes educational information about plant safety, what plants are poisonous and poison first aid.
PROFESSIONAL/ORGANIZATIONAL USE - Washington Poison Center Poison Prevention and Treatment Brochure
Price: $0.00 Quantity:
A tri-fold brochure about the Washington Poison Center, our services and tips to keep you and your family safe.
If materials will be given away during a class or special event, please describe: