Putting Down Roots in Earthquake Country en Español: Bulk Order Form

Putting Down Roots in Earthquake Country en Español

For 10 or fewer copies, use the simple order form.

Application for more than 10 copies of this handbook:

We may contact you for further information if necessary before shipping. Also, because of short supply and high demand, we can not provide unlimited quantities of handbooks; however, based on how you intend to distribute them we may provide larger quantities. You are welcome to place an additional request (at the bottom of this form) that will remain "on hold" until the next printing increases supply. Be aware that it may be months before these "on hold" requests can be filled.

First Name	Last Name
Organization
Mailing Address
City	State	ZIP Code
E-mail Address
Phone number
Number of copies:

Please answer the following questions:
Where did you hear about this handbook?
Have you identified hazards in your home (heavy items that can fall on you during shaking, unsecured water heaters, etc.) and begun to fix them?
Have you created a disaster plan?
Have you created a disaster supply kit?
Have you identified your home's potential weaknesses (house not bolted to foundation, unbraced cripple walls, etc.) and begun to fix them?
Do you know how to protect yourself during an earthquake?
Please answer these questions with as much detail as possible:
Who will receive the handbooks? (family, friends, customers, employees, community group, general public, etc.)
How will they be distributed? (Mail, class, training, special event, information desk, etc. Include location and dates of distribution if known, and how they will be used.)
How often might you need a similar supply of these handbooks? (quarterly, yearly, as needed, etc.)
Request for Additional Handbooks: (you may skip this section if none are required) If you need more than the number of copies we can presently supply, please place an order for the remaining number you require, below. Remember that it may be weeks or months before additional copies become available. Number of additional copies requested:
Who will receive these additional handbooks?
How will these additional copies be distributed?
We will review your application and contact you if we need more information or if we will not be able to send you the quantity requested. Otherwise, your order will be shipped within 2-3 weeks.
(To request the English version, please follow this link instead.)