Create-Your-Own All-Inclusive Program Package - Request for Quotation (RFQ) Form

For Public and Private Grade Schools, Middle Schools, High Schools,

Universities, Primary Care Practices and Healthcare Systems


You can now create your own all-inclusive program package to suit the specific needs of your school, healthcare practice or system by completing and submitting the form below.

Important! This form is for the all-inclusive, discounted program packages only. You MUST select at least one item from each of the five program package items to qualify for the all-inclusive program package discount.

Please use our Invoice Order Form for standard price individual program orders (no minimum order restrictions apply).


Contact Name *
Contact Name
Shipping Address *
Shipping Address
Phone *
Phone
Billing Contact Name *
Billing Contact Name
Billing Address *
Billing Address
Billing Phone *
Billing Phone
Item 1: Select your instructor-delivered manual-based program *
Each manual-based program includes online training for one instructor and five student manuals of your choice (shipped upon completion of program training).
Item 2: Select your self-delivered online program *
Each online program includes one access code for one teen to attend the online 7-session self-delivered program.
Item 3: Select your hard-copy student manual sets (20 manuals to a set). These are in addition to the five student manuals included with each program package purchase). *
Item 4: Select your print-your-own PDF manual sets (200 manuals to a set) *
Item 5: Select your program accessories *