Resource Order Form

Thank you for your interest in AETC Program resources. Please indicate the number of printed materials you would like to order (200 pieces, per item, per order limit unless otherwise indicated), and allow 2-3 weeks for delivery. Shipping is only available in the United States and its territories. Several of the resources below are available on the new AETC Program mobile HIV Care Tools app. Download for more information about the app's features and content.

Name

Organization Name

Mailing Address

City

State

Zip Code

Email Address

Phone Number

Other source

Resources

Enter the quantity for each resource you are requesting. Note that quantities may be limited. Some resources are available for download and may be printed locally.

Resource	Quantity
AETC Program Postcard	AETC Program Postcard

AETC National HIV Curriculum Postcard for Providers	AETC National HIV Curriculum Postcard for Providers


Passport to Cure Brochure for Clients - Haitian Creole	Passport to Cure Brochure for Clients - Haitian Creole


Hep C Free Postcard for Clients - Spanish	Hep C Free Postcard for Clients - Spanish
Hep C Free Postcard for Clients - Haitian Creole	Hep C Free Postcard for Clients - Haitian Creole
Rapid ART Scroll Pen (Out of Stock)	Rapid ART Scroll Pen
HIV Medication Chart Pad - limit 2 pads per order (Out of Stock)	HIV Medication Chart Pad

Last reviewed: Wednesday, September 13, 2023