HITM'S "SAFE HANDS" PROGRAM
 
safehands-kit
 

Safe Hands Program flyer (PDF format)
Order Form -- Safe Hands Program


Order Form -- Safe Hands Program
YES!  Please send me:
___ HITM's total "Safe Hands" Program(s) with all materials and supplies for $205.00 each.
I look forward to implementing an ongoing "Safe Hands" Program(s) in my establishment.

It is possible to purchase some of the above items individually, as follows.
___ (quantity)  Video tape, English $65.00 each:  total _______
___ (quantity)  Video tape, English-Spanish  $65.00 each:  total _______
___ (quantity)  DVD, English-Spanish  $65.00 each:  total _______
___ (quantity)  Safe hand washing poster (specify English or Spanish)  $3.75 each:  total _______
___ (quantity)  Anchor surgeon's brush  $3.50 each:  total _______
                        [CLOSE-OUT:  18" chains ($3.00 each) can be purchased separately for fastening the brush to the sink.  ___ (quantity) 18" chains:
                         total _______]
___ (quantity)  Glo-Germ kit  $102.00 each:  total _______
___ (quantity)  Certification lapel pins (available only to facilities that use our "Safe Hands" materials) $15.00 / pack:  total _______

Name ____________________________________________________________ Phone____________________
Company _________________________________________________________ FAX_____________________
Address  ___________________________________________________________________________________
City, State, Zip-code __________________________________________________________________________

___ enclosed is my total payment of  $__________
___ please invoice me at the above address
___ pay by VISA / MasterCard
          Card Number _______________________________________
          Name on Card ______________________________________
          Expiry Date ________________________________________


To HITM home page
To Order Form to order other HITM products plus the above