Shriners Hospitals for Children
Burn Awareness



 
 
 
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Burn Awareness

Materials Order Form

First Name*
Last Name*
Address*
City*
State*
Email Address*
Company
Phone Number*
Coloring Book quantity:
Preventing Burn Injuries poster quantity:
Stickers quantity:
Story of Austin Bailiff CD quantity:
How did you hear about Burn Awareness Week?
Yes, send me Burn Awareness Week updates 
Yes, send me Shriners Hospitals e-newsletter 

Please allow up to 2 weeks for delivery. If you have any quesitons about an order that has been placed, please e-mail shrinepr@shrinenet.org.


Shriners International Headquarters
2900 Rocky Point Dr. Tampa, FL 33607
813.281.0300

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Facebook logoFlickr Icon MySpace Icon Twitter Icon You Tube Icon Toll-free patient referral line:
In the US: 800.237.5055
In Canada: 800.361.7256

Emergency burn referrals:
Boston: 800.255.1916
Cincinnati: 866.947.7840
Sacramento: 866.714.7123
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