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TB Alert resource order form Awareness resources Quantit y Sub- total Leaflets and flyers: 1-100 £0.13 each, 101-1000 £0.15 each, 1,001+ on request What should I know about TB? (A5 booklet) English Urdu Tamil Gujarati Somali TB, drugs and alcohol (A5 booklet) TB and HIV in the African Community (A5 booklet) TB symptoms professional referral prompt (A5 flyer) What should I know about latent TB (A5 booklet)* What do I need to know about latent TB? (DL flyer) Latent TB professional referral prompt (A5 flyer) TB symptoms pocket card: 1-5,000 £0.05 each; 5,001+ price on request Latent TB pocket card: 1-5,000 £0.07 each; 5,001+ price on request English Arabic Bengali Gujarati Punjabi Somali Urdu Latent TB postcard: 1-5,000 £0.10 each; 5,001+ price on request The Real Story DVD: 1-100 £1.00 each; 101+ price on request Pens: 1-100 £0.35 each; 101-500 £0.30 each; 501+ price on request T-shirts: 1-20 £10.00 each; 20+ price on request Small Medium Large XL Posters: 1-100 £0.20 each; 101-500 £0.15 each; 501+ on request A3: Multilingual symptoms (Swahili, Somali, Gujarati, Urdu) A2: Multilingual symptoms (Tamil, Somali, Gujarati, Urdu) A3: The sooner the better A4: The sooner the better

Please supply contact details for the person … · Web viewLeaflet costs 10 20 30 40 50 100 250 500 1,000 £5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00

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Page 1: Please supply contact details for the person … · Web viewLeaflet costs 10 20 30 40 50 100 250 500 1,000 £5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00

TB Alert resource order form

Awareness resources Quantity Sub-total

Leaflets and flyers: 1-100 £0.13 each, 101-1000 £0.15 each, 1,001+ on request

What should I know about TB? (A5 booklet)

English Urdu Tamil Gujarati Somali

TB, drugs and alcohol (A5 booklet)

TB and HIV in the African Community (A5 booklet)

TB symptoms professional referral prompt (A5 flyer)

What should I know about latent TB (A5 booklet)*

What do I need to know about latent TB? (DL flyer)

Latent TB professional referral prompt (A5 flyer)

TB symptoms pocket card: 1-5,000 £0.05 each; 5,001+ price on request

Latent TB pocket card: 1-5,000 £0.07 each; 5,001+ price on request

English Arabic Bengali Gujarati Punjabi Somali Urdu

Latent TB postcard: 1-5,000 £0.10 each; 5,001+ price on request

The Real Story DVD: 1-100 £1.00 each; 101+ price on request

Pens: 1-100 £0.35 each; 101-500 £0.30 each; 501+ price on request

T-shirts: 1-20 £10.00 each; 20+ price on request

Small Medium Large XL

Posters: 1-100 £0.20 each; 101-500 £0.15 each; 501+ on request

A3: Multilingual symptoms (Swahili, Somali, Gujarati, Urdu)

A2: Multilingual symptoms (Tamil, Somali, Gujarati, Urdu)

A3: The sooner the better

A4: The sooner the better

A3: Don’t pass it on

A4: Don’t pass it on

A3: Latent TB: don’t wait ‘til it wakes

A4: Latent TB: don’t wait ‘til it wakes

A3: Latent TB testing and treatment poster (country flags, ages 16-35)**Awareness materials subtotal £

*Available as PDF and artwork in Arabic, Bengali, Gujarati, Punjabi, Somali and Urdu from www.thetruthabouttb.org/professionals** Latent TB testing and treatment - flags poster is free for CCGs and TB Control Boards from PHE. Call: 020 8327 7073.

Updated February 2019

Page 2: Please supply contact details for the person … · Web viewLeaflet costs 10 20 30 40 50 100 250 500 1,000 £5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00

Patient information Order quantity, per languageArabic English Bengali Farsi Gujarati Pashto Punjabi Somali Tamil Urdu Quantity Sub-total

TB: your questions answeredTB and the BCGTB and its diagnosisTB treatmentAbout your TB drugsContact tracing and screeningAbout your latent TB treatment Multi-drug resistant TBAn important test (TB-HIV)

Total number of leafletsLeaflet costs (see prices below) £

Leaflet costs 10 20 30 40 50 100 250 500 1,000£5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00More than 1,000 and other multiples, prices on request

Our patient information leaflets are also available to order as digitally printed editions or as licensed PDFs in: Albanian, Bengali, Chinese (simplified), Farsi, French, Greek, Italian, Pashto, Polish, Portuguese, Punjabi, Romanian, Sorani, Spanish, Turkish and Vietnamese. Buying a licensed PDF allows you to print off as many copies as you need within the license period (normally 1 or 3 years). To order, please download a digital licence order form from:

PDFs of our resources are available to view at www.thetruthabout tb .org/professionals , where we also have a range of free resources available to download. Artwork is available for localities that wish to customise or translate materials. Please contact [email protected] for more details, or call 01273 234030.

www.tbalert.org www.thetruthabouttb.org

Page 3: Please supply contact details for the person … · Web viewLeaflet costs 10 20 30 40 50 100 250 500 1,000 £5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00

Patient information digital copies and PDF licences

Costs Digital print 1 year licence 3 year licenceSingle leaflet n/a £25 per language £55 per languageComplete set (all nine titles in a single language)

£45 £165 per language £360 per language

Please tick required title(s) and language(s) and specify print or licence

TB: your questions answered

TB and the BCG

TB and its diagnosis

TB treatment

Your TB drugs

Contact tracing and screening

Latent TB treatment

Multi-drug resistant TB

Important test (TB-HIV)

Specify: print, 1 or 3 year licence

Cost per language

Albanian £Bengali £Chinese (simplified) £Farsi £French £Greek £Italian £Pashto £Polish £Portuguese £Punjabi £Romanian £Sorani £Spanish £Turkish £Vietnamese £TOTAL COST £ Please supply contact details for the person authorised to enter into this licence agreement.

Your name: Name of clinic: Telephone:

Name of authorising person: Email of authorising person: Telephone:

www.tbalert.org www.thetruthabouttb.org

Page 4: Please supply contact details for the person … · Web viewLeaflet costs 10 20 30 40 50 100 250 500 1,000 £5.00 £9.50 £13.50 £17.00 £20.00 £30.00 £65.00 £110.00 £180.00

Total order costs(Please copy subtotals from previous pages)

Awareness resources

Patient information

Total £

Delivery detailsName:

Delivery address:

Telephone:

Email:

Invoice detailsOrganisation:

Purchase order number:Invoice address:

Email:

Please post this form to TB Alert, 113 Queens Road, Brighton, BN1 3XG, fax it to 01273 371247 or email it to [email protected]. If paying by cheque please make payable to TB Alert. For order queries please call 01273 234029 or email: [email protected].

TB Alert is the UK’s national tuberculosis charity. The Truth About TB is TB Alert’s national public and professional awareness raising programme.

www.tbalert.org www.thetruthabouttb.org