Online Order Form

Online Order Form

Poison prevention materials are FREE to anyone within The Blue Ridge Poison Center 's service region. You may view our materials here.  Help us serve you best by filling out the request form below completely. We will never share your name or contact information with any other person or organization without your permission.

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Enter a physical mailing address that can accept a small package.
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The newsletter arrives by email. We will never share your name or email address with any other party, ever.
Packet includes poison safety information for all ages, 2 magnets, 2 stickers, and 2 wallet cards.
I plan to distribute poison center materials as part of my work for: (insert name of school, organization, or business)
If materials will be given away during a class or special event, please describe:
Number of sticker sheets needed? (NOTE: there are two stickers per sheet)
Number of magnets needed
Wallet-sized first aid cards
You can help the poison center by displaying a poster in a public spot, such as a school, community bulletin board, or pharmacy waiting area. Please get permission from the business owner or agency before posting. Choose your poster(s) below:
How many of each poster selected above do you need? NOTE: There is a limit of 6 posters total per order. If you have a need for more, please contact the Education Coordinator: Kristin Wenger, 434-982-4386 or email klw2s@virginia.edu.
Card includes childhood poisoning prevention tips, a magnet, 2 stickers, and 2 wallet cards.

Please allow up to 3 weeks for your items to arrive. If you need them sooner, contact Kristin Wenger: klw2s@virginia.edu or 434-982-4386.