TDT Gear and Trainer Pack Request Form

GEAR + TRAINER PACK REQUEST FORM

For details on how to qualify for an Advocate shirt and trainer packs, visit our Gear+Trainer Pack page.

The Campaign for Tobacco-Free Kids will verify course completion and reserves the right to follow-up for additional details as needed, and to rescind points if learners do not meet the requirement of the course.

*Adults eligible for trainer packs only*
*All items are based on availability*

Please contact the Campaign for Tobacco-Free Kids Youth Advocacy team at info@takingdowntobacco.org with any technical issues or questions

Please note that due to the TFK team working remotely, there may be a delay in mailing of packages for gear.

If you are looking to request youth advocate swag using points earned prior to September 2020, please email info@takingdowntobacco.org with your name, what you are requesting, your phone number, and your full mailing address.

What are you requesting?*

Advocate T-shirt Trainer Pack (giveaways for your next training)

*Shirt color may vary

Please choose your t-shirt size (adult unisex)*

S M L XL XXL XXXL

TRAINER PACK

Trainer Packs include giveaway items for your next training. Items are based on availability and may include things like pens, wristbands, stickers, USB drives, cell phone accessories, etc.

How many participants do you expect at your training?*

We will do our best to accomodate larger groups, based on availability

Name*

First Name

Last Name

Email (please enter the same address you use for your Take Down Tobacco account)*

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Take Down Tobacco is made possible by the generous contributions of the CVS Health Foundation.