If you are interested in purchasing QUIT NOW cards, please fill out this card order form to submit your request.

The rate per card is 18 cents which includes shipping and handling. By combining printing orders of these cards, the cost-per-card decreases. As a service of the Smoking Cessation Leadership Center, we have coordinated several large orders over the past year resulting in this fixed rate of 18 cents per card. Anderson Marketing Inc. a partner of the SCLC, provides the fulfillment services, including processing, shipping and billing of your order. Since the SCLC is a non-profit organization, 100% of the cost is used to cover printing and other expenses.

Have questions? Please visit our frequently asked questions page.

Contact Person:    

Email Address:      

Phone Number:     

Organization:        

Health Profession Using card (if applicable):

Number of cards (orders of 500 or less will be billed in advance):
500 1000 2500 3000 4000 5000 10,000 15,000 20,000 50,000 100,000 200,000 300,000 400,000 500,000

Billing Address:     

Shipping Address (if different from billing address):

How do you plan to use the QUIT NOW card?

 How did you hear about the QUIT NOW card?

Comments or questions:

Orders of 10,000 or more must be placed on or no later than the following deadlines (please check one if applicable):

September 30, 2011 November 30, 2011 January 30, 2012 March 30, 2012

Please allow 4 to 6 weeks shipping.

If you need information or have any questions, e-mail ccheng@medicine.ucsf.edu.