>> Marketing Material Order Form

Thank you for your interest in the Watch for Me NC campaign materials. Currently, NCDOT is providing materials only to established pilot community and university partners in Orange, Durham, and Wake Counties. These include:

1. City of Durham

10. Town of Carrboro

2. City of Raleigh

11. Town of Cary

3. Duke University

12. Town of Chapel Hill

4. Durham Tech

13. Town of Fuquay Varina

5. North Carolina Central University

14. Town of Knightdale

6. North Carolina State University

15. Town of Morrisville

7. William Peace University

16. Town of Wake Forest

8. St. Augustine’s

17. University of North Carolina

9. Town of Apex

18. Wake Tech

At this time, communities not on this list are advised to use the freely available downloadable materials or contact Laura Sandt at sandt@hsrc.unc.edu for more information. Communities on this list may proceed to the order form below to request materials. Requests will be granted as funding and resources allow. Note that digital versions of all of the materials listed below will be available for download from the project website beginning on July 25, 2013.

 

Material Request Form

Requester Information

Name of organization*

Name of department (example: police, communications, planning, etc.):*

Name of primary contact (first and last):*

Email:*

Phone:*

Address 1:*

Address 2:

City:*

State:*

Zip:*

*Required Field

 

Materials Available for Request

Enter the total amount of each item you would like to request in the box next to that material, provided it is within the maximum amount available.

 

Posters

Small (11 inches tall by 17 inches wide)

  Poster #1: Yield to people in crosswalks. It's the law. (max order 250)
  Poster #1: En Espanol (max order 50)

  Poster #2: Make room for bikes. (max order 250)
  Poster #2: En Espanol (max order 50)

  Poster #3: Pedestrian safety tips (max order 250)
  Poster #3: En Espanol (max order 50)

  Poster #4: Bicycle safety tips (max order 250)
  Poster #4: En Espanol (max order 50)

 

Large (18 inches tall by 24 inches wide)

  Poster #1: Yield to people in crosswalks. It's the law. (max order 250)
  Poster #1: En Espanol (max order 50)

  Poster #2: Make room for bikes. (max order 250)
  Poster #2: En Espanol (max order 50)

  Poster #3: Pedestrian safety tips (max order 250)
  Poster #3: En Espanol (max order 50)

  Poster #4: Bicycle safety tips (max order 250)
  Poster #4: En Espanol (max order 50)

 

Bumper Stickers

  I brake for people (max order 5,000)

  I look for bikes (max order 5,000)

 

Banners (3 ft. tall by 8 ft. wide)

  Yield to people in crosswalks. It's the law. (max order 5)

  Make room for bikes (max order 5)

 

Rack Card (4 1/4 inches by 11 inches, double-sided)

  Safety messages for pedestrians, bicyclists and motorists (max order 5000)
  En Espanol (max order 500)

 

Giveaways

  Light-up bracelet (max order 200)

  Set of bicycle head and tail lights (max order 150)
*To be provided for distribution to police units only.

 

Description of Material Distribution*
Please briefly describe when/where/how you plan to distribute EACH of the above types of items requested. This information will be used to coordinate campaign activities and monitor outcomes.

*Required Field

Enter the text in the image: To use CAPTCHA, you need Really Simple CAPTCHA plugin installed.

 

Mail:
sandt@hsrc.unc.edu
from: [userEmail]
Subject: WFM Order Details