<p> Lower Hudson Valley Perinatal Network</p><p>Community Health Education Day 2007</p><p>“It Takes a Village…To Manage the Ups and Downs of Parenthood”</p><p>Materials Order Form</p><p>Name/Title: </p><p>Organization: </p><p>Phone: Fax: </p><p>Email: </p><p>Hosts may order a MAXIMUM of 100 of each brochure and incentive PER SITE/EVENT. If you are ordering for more than one site/event please fill out a separate order form for each. Please visit www.LHVPN.net for a downloadable toolkit from which you may print additional copies. All items marked with * are available on the website. If you have not registered for CHED, please be sure that your registration accompanies this order form. </p><p>Brochures/Videos</p><p>Publication Title Quantity OFFICE USE ONLY “More Than Just the Blues”-English* “More Than Just the Blues”-Creole* </p><p>“Speak Up When You’re Down”- English* “Speak Up When You’re Down”- Creole* “Speak Up When You’re Down”- Spanish* “What’s Wrong With Me?”-English* “What’s Wrong With Me?”-Spanish* Depression During and After Pregnancy* “Understanding Maternal Depression”* Postpartum Support International Posters NJ Speak Up Video (5 Minutes)- SPANISH ONLY-Limited Quantity!</p><p>Client/Patient Incentives We reserve the right to limit quantities in order to support all CHED Hosts.</p><p>Incentive Quantity OFFICE USE ONLY Notepads Bookmarks Heart-Shaped Stress Relievers Pens </p>