Us TOO International Prostate Cancer Education and Support Network: Survey

If you are an Us TOO Chapter Leader or a Healthcare Provider such as a hospital or a urologist's office and would like to order large quanitites of our patient education or awareness material, you can do so here.

How to Order

Simply enter the number of pieces needed next to each item.
Scroll down and fill in your mailing address.
Click the "Submit Order" button below.

*Please note that all shipments will be sent USPS or UPS Ground. If you require your package sooner than ten days from the time of ordering, please call Jackie at 630-795-1002. She can arrange for a quicker delivery at your expense.
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All material is available as is and shown and subject to availability.

Question - Not Required - Please tell us the name of your Chapter if applicable:

Newly Diagnosed Patient Resources

Question - Not Required - Resource Kit for Making Prostate Cancer Decisions (MAX 10),

Question - Not Required - Pathways for New Prostate Cancer Patients (MAX 20),

Question - Not Required - What You Need to Know About Your Partner's Prostate Cancer (MAX 100),

Question - Not Required - Signposts Along the Pathway of Prostate Cancer (MAX 20),

Advanced Patient Resources

Question - Not Required - In Control: The Facts About Male Urinary Incontinence(MAX 20),

Question - Not Required - The Prostate Cancer Playbook (MAX 50),

Question - Not Required - What Now? Book (MAX 200),

Question - Not Required - Prostate Cancer Patient's Guide to Hormone Therapy (MAX 100),

Question - Not Required - The Prostate Cancer Recovery Guide: Hope, Recovery, Support. Insights to Help You Live Life Restored After Prostate Cancer Surgery

Question - Not Required - What you Need to Know for Better Bone Health Booklet (MAX 100),

Question - Not Required - Prostate Cancer and Incontinence: Coping Strategies and Treatment Options (MAX 10),

Question - Not Required - Clinical Trials For Advanced Prostate Cancer (MAX 10),

Awareness Material

Question - Not Required - "SEA Blue" Awareness Poster (MAX 10),

Question - Not Required - "SEA Blue" Minority Awareness Poster (MAX 10),

Question - Not Required - Special News for African Americans Poster (MAX 10),

Question - Not Required - Pens (MAX 50),

Question - Not Required - About Us TOO International Brochure (MAX 200),

Question - Not Required - SORRY WE ARE TEMPORARILY OUT OF: Prostate Cancer Awareness Month Postcard (MAX 200),

Question - Not Required - SORRY WE ARE TEMPORARILY OUT OF: Us TOO International "SEA Blue" Sticker,

Question - Not Required - Us TOO International "SEA Blue" Window Clings (MAX 15),

Question - Not Required - Us TOO International Awareness Bookmark (MAX 100),

Question - Not Required - Blue Ribbon Sticker (MAX 10),

Question - Not Required - SORRY WE ARE TEMPORARILY OUT OF Us TOO Lapel Pin (MAX 10),

Question - Not Required - Spanish DVD (MAX 3),

Question - Not Required - Special News About Prostate Cancer For Men at High Risk Brochure (MAX 100),

Question - Not Required - Special News About Prostate Cancer For Men at High Risk (en Espanol) (MAX 100),

Question - Not Required - A Message about Prostate Cancer for American Indian Men, Alaskan Native Men, and People Who Care About Them (MAX 100),

Question - Not Required - 2006 Annual Report,

Question - Not Required - 2005 Annual Report,

Question - Not Required - 2004 Annual Report,

Question - Required - Please tell us what date you need this material by (Please allow up to 10 business days for us to ship the material).

Month

Day

Year

Question - Not Required - Comments? Type them here.

Please ship to (please no P.O. boxes, as most of these orders require UPS, which will not deliver to a P.O. box):


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	Yes, I would like to receive e-mail from Us TOO International Prostate Cancer Education and Support Network
	Yes, I would like to receive postal mail from Us TOO International Prostate Cancer Education and Support Network

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Chapter Leaders and Healthcare Providers