virginia department of emergency management · web viewlisto virginia - spanish – tri-fold...

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Virginia Department of Emergency Management Brochure Request Form Today’s Date: Pick up or Delivery: Date literature will be picked up: Complete Mailing address: City, State Zip (No P.O. Box) The following must be completed for all brochure requests Agency/Contact name: Contact Phone: How/when will brochures be distributed? City or County where brochures will be distributed: Estimated # of Persons Receiving Brochures: ------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- All orders are subject to availability . If you need more than the maximum amount please contact the distributor directly (contact information provided at the bottom of the order form). Thank you. Qty. Item # Brochure Name, unit 13032 2014 Virginia Hurricane Guide - 200 per box -- Ready Virginia – tri-fold brochure – 50 pkg. -- Disaster Preparedness for Seniors – 50 pkg. -- Listo Virginia - Spanish – tri-fold brochure – 50 pkg. 12713R100 Ready Virginia Get a kit flyer – 100 pkg. 12713R200 Ready Virginia Make a Plan flyer – 100 pkg.

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Page 1: Virginia Department of Emergency Management · Web viewListo Virginia - Spanish – tri-fold brochure – 50 pkg. 12713R100 Ready Virginia Get a kit flyer – 100 pkg. 12713R200 Ready

Virginia Department of Emergency ManagementBrochure Request Form

Today’s Date:       Pick up or Delivery:      

Date literature will be picked up:       Complete Mailing address:       City, State Zip       (No P.O. Box)

The following must be completed for all brochure requests

Agency/Contact name:       Contact Phone:      

How/when will brochures be distributed?      

City or County where brochures will be distributed:      

Estimated # of Persons Receiving Brochures:      

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------All orders are subject to availability. If you need more than the maximum amount please contact the distributor directly (contact information provided at the bottom of the order form). Thank you.

Qty. Item # Brochure Name, unit      13032 2014 Virginia Hurricane Guide - 200 per box      -- Ready Virginia – tri-fold brochure – 50 pkg.      -- Disaster Preparedness for Seniors – 50 pkg.      -- Listo Virginia - Spanish – tri-fold brochure – 50 pkg.      12713R100 Ready Virginia Get a kit flyer – 100 pkg.

12713R200 Ready Virginia Make a Plan flyer – 100 pkg.

12713R300 Ready Virginia Stay Informed flyer - 100 pkg.

12713R400 Ready Virginia Communicate in an Emergency flyer -100 pkg.

12713R600 Ready Virginia Kit Checklist flyer -100 pkg.

12713R500 Ready Virginia Emergency Contact Cards flyer -100 pkg.

-- Ready Virginia Kids Puzzle Sheet -100 pkg.

12713L700 Listo Virginia Get a kit flyer – Spanish -100 pkg.

12713L800 Listo Virginia Make a Plan flyer – Spanish -100 pkg.

-- Listo Virginia Stay Informed flyer – Spanish -100 pkg.

12713L1000 Listo Virginia Communicate in an Emergency flyer – Spanish -100 pkg.

12713L1200 Listo Virginia Kit Checklist flyer – Spanish -100 pkg.

12713L1100 Listo Virginia Emergency Contact Cards flyer – Spanish -100 pkg.

-- Graphic novel “The Challenges of Life” - English

Page 2: Virginia Department of Emergency Management · Web viewListo Virginia - Spanish – tri-fold brochure – 50 pkg. 12713R100 Ready Virginia Get a kit flyer – 100 pkg. 12713R200 Ready

      -- Fotonovela : Los Retos de la Vida” - Spanish

-- Poster 11”X14”- Graphic novel “The Challenges of Life”

-- Poster 11”X14”– Fotonovela “Los Retos de la Vida” - Spanish

-- Business Emergency Actions Poster 11”X17”

-- Emergency Preparedness is Everyone’s Responsibility flyer - English-- Emergency Preparedness is Everyone’s Responsibility flyer - Arabic-- Emergency Preparedness is Everyone’s Responsibility flyer - Chinese-- Emergency Preparedness is Everyone’s Responsibility flyer - French-- Emergency Preparedness is Everyone’s Responsibility flyer - German-- Emergency Preparedness is Everyone’s Responsibility flyer - Hindi-- Emergency Preparedness is Everyone’s Responsibility flyer - Italian-- Emergency Preparedness is Everyone’s Responsibility flyer - Korean-- Emergency Preparedness is Everyone’s Responsibility flyer - Russian-- Emergency Preparedness is Everyone’s Responsibility flyer - Tagalog

      -- Emergency Preparedness is Everyone’s Responsibility flyer - Vietnamese

Please Mail, Fax or Email to: 10501 Trade Court

Richmond, VA 23236(804) 897-6506 (fax)

[email protected]

For Questions: 804-897-6510 (Public Affairs Office)

Virginia Department of Emergency Management

July2013