Thank you for your interest in Healthy Androscoggin. Please use this form to order FREE health promotion materials. Due to variability of our supply, select items may not be in stock or we may have limited quantities. We may make substitutions or fill partial orders. Please use the notes section below if you have specific requests or have additional information to share. You may fax this order form to 795-5992 or mail to the address above. Thank you.
Please check the box next to the item(s) you would like to receive and indicate the quantity you desire.
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