Poster/ribbon order form

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Organisation

Organisation type

How will you distribute these ordered JPS material ? If you are organizing an activity in your community, register it in the official HSD calendar!

How many young people (approximate) will be reached by the distribution of the ordered JPS material?

What is the age group of the young people reached by the distribution of the ordered JPS material?

Contact information

Contact person

Role

Phone

Billing address

Address

# Apartment, unit, office

City

Province

Postal code

Country

Consent for the Use of Your Personal Information

Your consent is required to finalize the order for materials. Your information will be used in accordance with our privacy policy (french) to ensure proper logistical management. Once this purpose has been fulfilled, your data will be securely deleted.

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