California residents:

Complete and submit the information below to receive two free “Don’t Guess Be Sure” brochures with refrigerator magnets (image below). A full range of CPCS materials are available to order. Forms (online PDF, 530k) can be downloaded and faxed to 415-502-8620. Magnets are available in English, Spanish, Chinese, Korean and Vietnamese. Please note in the comments field your choice of language.

CPCS Sticker *Name:

*Address:


*City (California Only):

*Zip:

Email Address:

Phone Number:
. . . . . *Required Fields


Comments:

CPCS will not share your information with any third party or distribute unsolicited email.