PRC Pamphlet Order Form

Fill out the information as instructed then fax, e-mail, or call in your order. The PBHS Prevention Resource Center (PRC) will process and ship orders on Wednesdays and Fridays. Please allow 3-5 business days for delivery.

Contact Information:
Telephone: 302-633-2586 or 302-633-2513
Fax: 302-622-4475
Email: PBHS_Resource_Center@delaware.gov


Customer Information


 

Email address will receive a copy of this form.

Demographic Information

Please fill in the number of individuals who will benefit from these resource pamphlets.

Gender Number
Age Range Number
Race Number
Ethnicity Number





Please indicate the number of copies per title in the space provided.
(Maximum Allowed: 50 copies per title – 500 copies per order)

CHILD ABUSE AND NEGLECT PREVENTION / FAMILY FOCUSED

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ALCOHOL, TOBACCO & OTHER DRUGS

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