Smokefree Hackney promotional materials request form

Please fill out this form in order to receive Leaflets / Posters / Business cards, screensavers, and other printable documents. Note that we may contact you in order to confirm the order, as well as to send you the digital documents, should you request them.

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Clinic supplies request form

FOR PARTNERS ONLY (E.g. Hackney pharmacies providing full SC service & GPC): Order replacement CO monitors, mouthpieces, D-Pieces and LoR Pads

We will contact you to confirm your order after you submit the form.