SCLC | 1-800-QUIT-NOW card promotion

250 cards free of charge. Submit this form and our card vendor, A4 Promotions, will contact you to complete your order. Please allow 4–6 weeks for shipping.

Thank you for promoting health, helping smokers quit, and preventing premature deaths caused by tobacco use.

1. Full name

2. Email address

3. Title

4. Organization

Please indicate the number of cards you would like to order (250 cards only per order)

Please indicate primary contact number

5. Address (Street, City, State and Zip)

6.How did you hear about the Quit Now cards?

7. Do you currently use the 1-800-QUIT-NOW cards in your practice?

Yes
No