Harge to New York State residents. • Complete the address label below and send with order form to insure delivery. • Label EACH page with your organization’s name. • Check the appropriate boxes for the quantities desired. • Orders CANNOT be delivered to a post office bulk box number. • Allow at least three weeks for delivery. • Choose one of two easy ways to order: EMAIL: B0019W@health.ny.gov MAIL: NYSDOH Distribution Center PO Box 343 Guilderland, NY 12084-0343 • For questi.

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How to use or fill out the NY Educational Materials Order Form online

The NY Educational Materials Order Form is designed to assist individuals and organizations in obtaining educational materials related to influenza and pneumonia prevention. This guide provides clear, step-by-step instructions on how to fill out the form online to ensure a smooth ordering process.

Follow the steps to complete your educational materials order form.

  1. Press the ‘Get Form’ button to access the order form and open it in your preferred online editor.
  2. Fill out the contact information section, including your name, organization, and mailing address. Ensure accuracy as this information will be used to deliver the materials.
  3. In the publication section, review the available materials and check the appropriate boxes to indicate the quantities desired for each item. Options typically include quantities such as 10, 25, 50, 100, or other (up to 200).
  4. Label each page of the order form with your organization’s name for clarity and processing purposes.
  5. Verify that the order form does not include a post office bulk box number, as orders cannot be delivered to these addresses.
  6. Once all the necessary fields are completed, you may have options to save changes, download, print, or share the completed order form.

Complete your NY Educational Materials Order Form online today to request essential health materials!

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