Order Form and Tax Invoice
The Cancer Council Victoria ABN: 61 426 486 715. N.B Upon payment, this form can be used as a Tax Invoice. Please photocopy this form for your tax records. Please send order to: On this order form You can order resources for
• people who want to stop smoking• people from Non-English Speaking Backgrounds
• researchers• places that want to go smokefree
PLUS how to find more resources and help online at www.quit.org.au. Using this order form
For simple, small or repetitive orders and one page faxing
2 Date of order
Write the resources required using the blank rows below.
Make sure you write the title of the resource as it is listed in the order form
and include the listed cost if one is incur ed.
Write the total cost (if any) at the bottom of this page.
Complete the appropriate payment method details, if needed (6). 3 If using resources for a special event
Write the number of each resource required on each page of the order form. 4 Postage charges
Add up the costs incur ed using the subtotals boxes for each section
Victoria
Write the total cost (if any) at the bottom of page 4. Other states small orders allow $4.40; larger orders will be invoiced 5 How to order Resources required
Quit Victoria, PO Box 888, Carlton South, Victoria 3053, Australia
(03) 9635 5510 (international +61 3 9635 5510)
include your fax or phone number in case of poor fax quality
6 Payment method – cheque, credit card or bill (Method A) Quantity For amounts under $75 (inc GST) we require a cheque or credit card payment with the order. Cheque
made payable to The Cancer Council Victoria
Credit card
Credit card payments must be for $16.50 or more including GST. Victoria Other states Resources to help people stop smoking Stopping smoking: Quantity further information sheets Quantity Victorian orders – One copy free (can be photocopied), bulk copies bil ed at 33c each.
Also available on our website www.quit.org.au
Smoking & Your Health - Information for
Smoking, Your Mouth, Your Health brochure
Clearing the Air - Talking with Children &
Audio visual
Important Information for Fathers Who Smoke
video DVD
Secondhand Smoke and Your Children brochure
Reducing the Risks of Cot Death brochure (1 only)
Give Your Baby a Great Start to Life card
Baby Breathing door hanger (Vic – limit 20 per
Material in languages other than English Languages available AlbanianAmharic Arabic Bosnian BurmeseCambodianChinese CroatianDari Greek Hindi Italian Karen Korean Kurdish Macedonian Pe Polish Russian Serbian Somali Spanish SudaneseTigrinyaTurkish VietnameseQuantity$ Vic $ Else
Secondhand Smoke & Your Children brochure
Stopping Smoking is the Only Healthy Option
Enjoy Life More, Quit Now poster (Chinese)
Protect Children From Cigarette Smoke poster
Multi-language resources Lung Tumour poster
With information in English, Arabic, Chinese, Greek, Italian, Korean, Spanish, Turkish, Vietnamese.
With information in English, Arabic, Cambodian, Chinese, Croatian, Greek, Italian, Macedonian, Polish, Russian,
Serbian, Spanish, Turkish and Vietnamese. * For online resources visit quit.org.au/multicultural Resources for research Background Briefs Quantity Quantity Victorian orders – One copy free (can be photocopied), bulk copies bil ed at 33c each.
Also available on our web site www.quit.org.au
What You See is What You Get - tobacco pack
Australian Smoking Rates, Diseases, Secondhand
Never Give Up Giving Up - New Year poster
Never Give Up Giving Up - Cravings poster
Herbal Cigarettes, Kretecs, Bidis, Rol -Your-Own,
Never Give Up Giving Up - Ways to Quit poster
Mental Il ness & Smoking Cessation: An Urgent
Never Give Up Giving Up - I want to know how
Never Give Up Giving Up - The perfect reason
Never Give Up Giving Up - Three great reasons
Stop Smoking to See the Future (Eye Health)
Resources for schools Teachers Quantity
When They Are Young (for teachers) poster
When They Are Young (for youth workers) poster
Materials for Aboriginal communities Quantity Students
Aboriginal smokefree stickers (4 stickers in 1)
Tobacco Action Packs – Available to download from our website at www.quit.org.au
Give Your Baby a Great Start to Life card
Passive Smoking (Sickness Goes into Family) poster
What Cigarette Smoking Does to Your Body poster
Quit Evaluation Studies 1 – 11 available to download from our website at
www.quit.org.au
Tobacco in Australia: Facts & Issues 2008 3rd edition can be found online at
www.tobaccoinaustralia.org.au All costs listed in this order form are inclusive of GST Find resources online at: Quantity
International No Smoking Symbol decal (for use
Many of the resources listed on this order form can also be found on our website. You can
also download more copies of this order form.
International No Smoking Symbol with durable
plastic holes in each corner: 30cm x 30cm
There is online help for people who want to quit smoking including the Quit Coach, where
smokers can get free personal advice tailored to their needs. View the Quit Book online at: quitbecauseyoucan.org.au As well as the online Quit Book, there is also information available on this website in a range
of languages that can be viewed on your screen, downloaded and printed. Total cost of order (Method B) Merchandise Quantity Resources to help quitters Audio visual Stopping smoking info sheets Material in languages other than English Resources for schools Teachers Organisations wishing to purchase any of the fol owing DVD titles should contact: Materials for Aboriginal communities
Phone: 03 5433 3854 Email: front_desk@themedia.com.au
Resources for research Background briefs
• Hot Water DVD package, includes leader’s and teacher’s manuals – for additional
Tobacco pack warnings fact sheets
• My Last Last Cigarette DVD includes 1 Manual and 20 Worksheets
Merchandise Victoria Other states If you want to stop smoking, call:
The Quitline is a confidential telephone information and advice service. For the cost of a local
call, professional telephone advisors provide encouragement and support to help smokers quit.
Drug interactions and drug metabolism Drug interactions Drug interactions are a common cause of adverse drug events. There are too many to list, but the principles behind drug interactions and some examples follow. Pharmacokinetic Drugs can interact outside the body before administration. For example, when morphine and cyclizine solutions are mixed in patient-controlled a
BIOGRAPHICAL SKETCH EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) China Agricultural University, Beijing, China China Agricultural University, Beijing, China University of Florida, Gainesville, FL,USA A. Personal Statement Dr. Qi-En Yang works as a Lalor Foundation postdoctoral fellow in