Be The Voice - Request Point-of-Purchase Kit

Be The Voice – Request Point-of-Purchase Kit

Be The Voice- Request Point-of-Purchase Kit

If you are human, leave this field blank.

First Name *

Last Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone *

Email *

Is this your first interaction with Apraxia Kids? *

What is your relationship to apraxia? *

Please provide 1-2 sentences describing how you plan to utilize the Point-of-Purchase stars. *

How many people will be impacted by your event or initiative? *

If your event is on a particular day, please provide the date:

Are you using this Point of Purchase as part of your Walk fundraising?

Yes

What is your team name and what Walk will you be attending?

Please check here if you are requesting these materials from outside the United States or Canada. Due to the rising cost of shipping, we charge a $10 shipping and handling fee for international orders.

We are excited to offer these kits free of charge to maximize awareness! Would you like to make a donation to help us offset the cost of printing and shipping? *

Donation Amount (USD): *

I would like to receive email communication from Apraxia Kids.

Total (USD):

Be The Voice – Request Point-of-Purchase Kit

About Apraxia

Useful Information

Be Supportive

GET IN TOUCH