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MIRECC / CoE

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Order Form

This order form is for Together With Veterans community sites only, if you are not associated with at Together With Veterans site please use the public order form site here: https://www.mirecc.va.gov/visn19/orderform/orderform.asp

NOTE: Together with Veterans will no longer be using a point system for orders. Please refer to product limits per each product and do not exceed total for that item.

Purchase order limits are a part of our program costs and are subject to change.

Pictures provided are examples and actual products may vary slightly.

If you will be utilizing materials for an event, or distribute to others and need larger quantities, please contact: Selena.KalapatapuCruz@va.gov  p: 720-723-6553.

Order Together with Veterans Materials

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Please do not leave this blank, we need to know where to ship your items!

If order is not shipping to a residential address, please indicate organization name for shipping purposes?
 

Please, do not leave blank!

Phone Card Pockets (limit 300)

Phone Card Pockets

Detail: Blue

  |  Quantity:

 

Pillboxes (limit 300)

Pillboxes

Detail: Blue and Red, 7 days

  |  Quantity:

 

Tote Bags (limit 100)

Tote Bags

Temporarily out of stock

Detail: Navy, 12"W x 13"H X 8"D

 

 

Magnetic Clips (limit 200)

Magnetic Clips

Temporarily out of stock

Detail: Blue, 1-3/7"W x 3-3/8"H

 

 

Wallet Card (limit 400)

Wallet Card

Detail: White, 2.25"H x 3.5"W

 |  Quantity:

 

Window Decals (limit 300)

Window Decals

Detail: White, 4"H x 4"L,

 |  Quantity: type="text" value="0" oninput="get_gt()"/>

 

Bracelets (limit 300)

Bracelets

Detail: Camo, 3.75" diameter

  |  Quantity:

 

Emergency Flashlight (limit 150)

Emergency Flashlight

Temporarily out of stock

Detail: Can be used after the batteries die by simply hand cranking to activate

 

 

Dog Tags

Dog Tags

Detail: Blue

 |  Quantity:

 

Magnets (limit 300)

Magnets

Detail: White, 3.5" x 2"

 |  Quantity:

 

Hand Sanitizer (limit 200)

Hand Sanitizer

Detail: 1.9 oz, comes with carabiner

  |  Quantity:

 

Reducing Firearm Risks brochure

Reducing Firearm Risks brochure

Detail: 8.5 x 5.5

 |  Quantity:

 


Grand Total:

 

 

Educational/No Cost Items

Uniting for Suicide Postvention (USPV) Brochure (not to exceed 200)

Uniting for Suicide Postvention (USPV) Brochure

Detail: 8.5 x 8.5

 Price: Free |  Quantity:

 

Uniting for Suicide Postvention (USPV) Magnet (not to exceed 300)

Uniting for Suicide Postvention (USPV) Magnet

Detail: 4.4 x 2

 Price: Free |  Quantity:

 

Uniting for Suicide Postvention (USPV) Repositional Sticker (not to exceed 300)

Uniting for Suicide Postvention (USPV) Repositionable Sticker

Detail: 4.4 x 2

 Price: Free |  Quantity:

 

Uniting for Suicide Postvention (USPV) Notepad (not to exceed 100)

Uniting for Suicide Postvention (USPV) Notepad

Detail: 4.4 x 2

 Price: Free |  Quantity:

 

Uniting for Suicide Postvention (USPV) Picture Frame Magnet (not to exceed 100)

Uniting for Suicide Postvention (USPV) Picture Frame Magnet

This picture frame magnet is great for personal use or for sharing with colleagues and clients. This magnet has two pieces:
  1) Outer frame (4.25” x 6.25”) – features the USPV logo and web-address and can hold a standard size (4 x 6”) photo
  2) Inner pop-out magnet (3” x 4”) - features the USPV “Postvention is Prevention” lotus/infographic

  

 

Talking to Children Guide - (English) (not to exceed 25)

Talking to Children Guide (English)

Detail: 24 pages & DVD, - English

 Price: Free |  Quantity:

 

Cómo hablar con su hijo sobre un intento de suicidio en su familia: Guía para familias con niños en edad preescolar, niños en edad escolar y adolescentes - Folleto & DVD (Sin exceder 25)

Talking to Kids Booklet

Detail: 24 pages & DVD, (not to exceed 25) - Spanish

 Precio: Gratis |  Quantity:  

 

REACH VET Cards (not to exceed 500)

REACH VET Cards

Detail: Order in multiples of 25

 Price: Free |  Quantity:

 

Preventing Suicide Among Older Veterans (not to exceed 200)

Preventing Suicide Among Older Veterans

Detail: Tri-fold brochure

 Price: Free |  Quantity: If possible order in multiples of 25

 

Give an Hour Cards (not to exceed 500)

Give an Hour Cards

Detail: Order in multiples of 25

 Price: Free |  Quantity:

 

DVD: Substance Use and Traumatic Brain Injury Risk Reduction and Prevention (not to exceed 5)

DVD: Substance Use and Traumatic Brain Injury Risk Reduction and Prevention

Detail: Not to exceed 5

 Price: Free |  Quantity:

 

DVD: TIP 50 (not to exceed 5)

DVD: TIP 50

 Price: Free |  Quantity:

 

SDVCS Nomenclature Laminated Tools (not to exceed 100)

SDVCS Nomenclature Laminated Tools

 Price: Free |  Quantity:

 

Therapeutic Risk Management of the Suicidal Patient Tool (not to exceed 100)

Therapeutic Risk Management of the Suicidal Patient Tool

Detail: Order in multiples of 25

 Price: Free |  Quantity:

 

Suicide Risk Management Consultation Cards (not to exceed 100)

Suicide Risk Management Consultation Cards

Detail: Order in multiples of 25

 Price: Free |  Quantity:

 

 

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Last Updated 7 November 2022