WVRC :: Re-order Supplies

If you need to re-order WVRC informational supplies, please use the form below or contact Beverly Klug directly at bklug@wvrc.com or 262-309-6942 x138.

How many WVRC brochures do you need ? *
How many 1st Aid booklets do you need ? *
How many emergency contact magnets do you need? *
How many blood donor program brochures do you need? *
Your hospital name *
Best way to reach you if we have questions (phone number or e-mail address): *
Other comments
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