Participant Kit Order Form

  • Only LivingWorks trainers or facilitators or known agents of trainers or facilitators can order materials.
  • Allow at least three weeks for delivery unless special shipping requested.
  • Shipping and handling fees apply to all orders as well as sales tax where applicable. Fees will be determined according to shipping specifications and will be added to your invoice.
  • Please complete all ship-to and bill- to fields in full. If you are requesting a quote and do not have all details, enter N/A.
  • International orders may be subject to additional duties and taxes imposed by the destination country. We cannot guarantee if these charges will be billed or not and it is the responsibility of the recipient to pay these fees should they occur. For more information, please check the importation laws and regulations for your country.
  • Materials are non-refundable. Please count all material immediately after delivery. Missing items cannot be replaced beyond 30 days after delivery.
  • Looking for materials not listed on this form? Please use the comment field to request 

Notice: effective June 1, 2017 ...

LivingWorks requires prepayment, a purchase order or a contract before materials can be shipped. A sales order with payment information will be sent to the email you provide when completing this form.
 

Trainer Information

If order, date required by (mm/dd/yr)

Please provide details as you would like them to appear on your invoice

Shipping Address

Shipping address fields are mandatory. Enter n/a if the detail is the same as billing.

Tax Information

If you are ordering from outside the US, please type N/A in this field. If you are ordering from the US and need assistance in learning about EIN, type help in this field. A Federal Tax ID Number (xx-xxxxxxx) of the ultimate consignee (the person who will receive the shipment) is required to avoid delays and additional charges.

If your agency/organization is GST (Canada) or State Sales and Use (USA) Tax Exempt, upload exemption document.

Providing an EORI number can help to avoid delays at customs. See www.gov.uk/economic-operator-registration-and-identification-eori-scheme for more details.

ASIST 11 Materials

Available to ASIST 11 Trainers only.

Workbook, wallet card, certificate, background and feedback forms, stickers, brochure (5% discount on 180–539 kits; 10% discount on 540+ kits) English (EN) $38.10 French (FR) $43.25 (includes $5.15 other language charge)

ASIST 10 Materials

Available to ASIST Edition X Trainers only. Available in English (EN), French (FR), Spanish (SP)and Inuktitut/English Bilingual (IN)

Workbook, Suicide Intervention Handbook eBook on CD-ROM, wallet card, certificate, background form, feedback form, stickers (2), brochure (5% discount on 180–539 kits; 10% discount on 540+ kits) English (EN) $38.10 French (FR), Spanish (SP), Inuktitut/English Bilingual (IN) $43.25 (includes $5.15 other language charge)

safeTALK Materials

Available for safeTALK Trainers only. English (EN) and French (FR)

Resource book, wallet card, stickers (2), certificate Price per kit:
English: $7.75. Bundled order of 100: $670.00
French: $8.75.

suicide to Hope Materials

Curriculum fee is $85 per person and includes one copy of the workbook, certificate, participant feedback form, pre-reading material, plus three copies each of My s2H Plan and the Planning Tool. One set of activity scripts will be included for each workshop material order. Available to suicide to Hope Facilitators only.

All-program Brochure

This brochure helps build awareness about LivingWorks training. We can provide up to 65 brochures to our trainers at no cost. Please let us know how many you need and who you’re planning to distribute them to. Orders of more than 65 brochures are available at cost, just as they were previously.

Who are you distributing these brochures to?

Tip: if you tab or click through each field before submitting your order, any missed mandatory fields will display in red. Please review your form details to ensure you have completed all required information. A confirmation page will be displayed for successfully submitted forms.