Resource requests - Sexual Health Quarters

Fields marked with an * are required

Printed copies of our SHQ wallet card and services brochure are available for free in limited quantities.To request these resources please complete the form below.
Name
First Last
Email * Required
Phone
Organisation * Required
Address * Required
Street Address Address Line 2 City ZIP / Postal Code
These free resources are only available to organisations based in Western Australia
State * Required
- I understand that these resources are available to organisations based in Western Australia only.
Description of service/event (if applicable)
Please indicate below how many of each resource you would like to order.
Wallet cards
Please enter a number from 0 to 50.
Maximum order is 50 wallet cards
Get to Know Sexual Health Quarters (General services brochure)
Please enter a number from 0 to 50.
Maximum order is 50 brochures. To view an electronic copy of this resource click here.
SHQ Counselling and Psychology Services flyer
Please enter a number from 0 to 20.
Maximum order is 20 brochures. To view an electronic copy of this resource click here.
Can you collect your order from SHQ in Northbridge? * Required
Please note: if you cannot collect, you will be asked to contribute to the cost of postage
CAPTCHA