Please fill out the order and shipping information form below and click the submit button or print the form and fax to 617-292-5085 or mail to MassSupport, c/oTMF, 95 Berkeley Street, Boston , MA 02116. Allow 1-2 weeks for delivery. Call 866-237-8274 for further assistance.
Materials
Description
Quantity
Family Disaster Plan
Being prepared before a disaster strikes is one of the best ways to make your family and home safe. This guide helps you know what you need to do and what you need to know. 4 pages. 8.5" x 11"
Mass Support Flyer
Information about the MassSupport Web site. 8.5" X 11"
Mass Support Bookmark
MassSupport bookmark. 8.5"X 2.25"
Family Emergency Card
Be prepared wherever you are. Convenient wallet size card to record emergency contact information. Order one for each family member.
Address Information
Name
Title
Organization
Program
OrganizationType
Statewide or pilot grantee
Government
Non-profit
CK coalition member
Hospital or Health Clinic
School
Business
Other
(cannot ship to PO Box)
Address
City
State
Zip
Phone
Fax
Email
Additional Notes
© 2003 The Massachusetts Department of Public Health.
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