Housing Materials Order Form

Materials Order Form

Please select the free materials you need to support your smoke-free policy.

Window Decals

housing materials
WINDOW DECALS
SIZE 6" x 4"

QTY
Limit one per common use door in building


Magnets - Recommended one per unit

housing materials
MAGNETS
SIZE 3.5" x 2"

QTY
Recommended one per unit

Key Chains

housing materials
KEY CHAINS
 

QTY


Double Sided Window Decals - Limit four per building

housing materials
Double Sided Window Decals
"This is a smoke-free building"
SIZE 8" x 6"

QTY

 

housing materials
Double Sided Window Decals
"This is a smoke-free property"
SIZE 8" x 6"

QTY

 

housing materials
Double Sided Window Decals
"Smoking is not allowed within 25 feet of this entry way"
SIZE 8" x 6"

QTY


Aluminum Signage - Limit two per building

housing materials
Aluminum Signage
"This is a smoke-free building"

SIZE 12" x 9"
QTY

SIZE 24" x 18"
QTY

 

housing materials
Aluminum Signage
"This is a smoke-free property"

SIZE 12" x 9"
QTY

SIZE 24" x 18"
QTY

 

housing materials
Aluminum Signage
"Smoking is not allowed within 25 feet of this entry way"

SIZE 12" x 9"
QTY

SIZE 24" x 18"
QTY


Smoke-Free Home Pledge Card

housing materials
Smoke-Free Pledge
"Pledge to protect yourself and others from the health risks of secondhand smoke"

QTY

Property Information

Number of Smoke-Free Buildings
Approximate Number of Tenants
Number of Smoke-Free Units
Municipal Location of Smoke-Free Apartments

 
Contact Information

FIRST NAME
LAST NAME
COMPANY
EMAIL
ADDRESS - LINE 1
ADDRESS - LINE 2
PHONE
CITY
STATE
ME - MAINE
ZIP CODE
Please upload your smoke-free policy or lease agreement/addendum.


 
How did you hear about these resources?
Would you like to be put in contact with your local District Tobacco Prevention Partner to help with policy change or implementation?

YesNo
 
Additional Notes:

These materials listed above are only intended for Maine multi-unit housing properties. Breathe Easy reserves the right to limit the number of items provided per request. All items provided by our non-profit organization are free to Maine landlords, property managers and housing professionals with 100% smoke-free buildings. Supplies are limited. Please allow 2-4 weeks for delivery.

We may request payment of postage for any order of metal signage provided or ask that interested parties make arrangements to pick up these materials direct from our office.

Limited quantities of aluminum signage available. Breathe Easy will contact you in regards to the availability of this signage should we be unable to fill your request.