ESI Hardcopy Material Request 2022 "*" indicates required fields Request Type* Hardcopy Material Request Fair / Benefit / Promo Items New Client Start Up Materials New Client Start Ups are only submitted by AdminNew Client Start Date* Date of Event* What date does this need to arrive by?Client Name:* Ship to Attention:* Shipping Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Vertical/Brand: ESI - Not Vertical Specific Educators Healthcare Higher Education Public Safety TotalCare Union AP Non-English Materials Organization Specific Promo Items / Other Items Large Promo Items *See Note* ESI Cooler Bag ESI Insulated Cup ESI Gym Bag *Must have Angela's approval for more than 2 total combined items above per event.ESI Cooler Bag ESI Insulated Cup ESI Gym Bag Small Promo Items - *For Benefit Fairs Only Pens - Limit 100 per order *Must have Patty's approval for more than 100 pensESI Pens - Limit 100 Per Order ESI Magnets - Limit 100 Per Order Other Benefit/Fair Items Table Cover Table Tents Debt Slips Drug/Alcohol Slips Stress Slips Stress Dots & Cards Elder/Child Care Slips Pet Help Slips Table Cover Table Tents - 3D Table Top Display Debt Slips Stress Slips - Female Stress Slips - Male Elder/Child Care Slips Drug/Alcohol Slips Pet Help Slips Stress Dots and Cards (Sets of 50) Are you requesting more than the limit on any of these items?* No Yes - Need Manager Approval Which manager approved this?* Please indicate which manager approved ordering over the limit. ESI - Not Vertical Specific* Certified Financial Coaching Insert *ESI-0002* Counseling Help Flyer *ESI-0004* Legal Flyer *ESI-0015* Personal & Professional Coaching Flyer *ESI-0027* Quad (Issue category Flyer) *ESI-0036* Wellness Coaching Flyer *ESI-0050* Wellness Coaching Posters *ESI-0052* ESI-0002 *Certified Financial Insert* Certified Financial Coaching Flyers (Enter Above)ESI-0004 *Counseling Help Flyer* Counseling Help Flyers (Enter Above)ESI-0015 *Legal Flyer* Legal Flyer (Enter Above)ESI-0027 *P&P Coaching Flyer* Personal & Professional Coaching Flyer (Enter Above)ESI-0036 *QUAD* Quad - Issue Category Flyer (Enter Above)ESI-0050 *Wellness Coaching Flyer* Wellness Coaching Flyer (Enter Above)ESI-0052 *Wellness Coaching Poster* Wellness Coaching Posters (Enter Above)Spanish Counseling Help Flyers *ESI-0006* Intro Brochures *ESI-0012* Member Cards *ESI-0023* Posters *ESI-0033* ESI-0006 *Spanish Counseling Flyer* Spanish Counseling Help Flyers (Enter Above)ESI-0012 *Spanish Intro Brochure* Spanish Intro Brochure (Enter Above)ESI-0023 *Spanish Member Card* Spanish Member Cards (Enter Above)ESI-0033 *Spanish Poster* Spanish Posters (Enter Above)Educators Intro Brochure *ESI-0007* Member Cards *ESI-0017* Self Help Flyer *ESI-0038* Poster *ESI-0029* Member Testimonial Poster *ESI-0044* ESI-0007 *EDU Intro Brochure* Educators Intro Brochures (Enter Above)ESI-0017 *EDU Member Card* Educators Member Cards (Enter Above)ESI-0038 *EDU Self Help Flyer* Educators Self Help Flyers (Enter Above)ESI-0029 *EDU Poster* Educators Posters (Enter Above)ESI-0044 *EDU Testimonial Poster* Educators Member Testimonial Posters (Enter Above)Healthcare Intro Brochure *ESI-0008* Member Cards *ESI-0018* Self Help Flyers *ESI-0039* Overwhelmed By Stress Flyer *ESI-0026* Posters *ESI-0030* Member Testimonial Posters *ESI-0045* ESI-0008 *HC Intro Brochure* HealthCare Intro Brochures (Enter Above)ESI-0018 *HC Member Card* HealthCare Member Cards (Enter Above)ESI-0039 *HC Self Help Flyer* HealthCare Self Help Flyers (Enter Above)ESI-0026 *HC Stress Flyer* HealthCare Overwhelmed By Stress Flyer (Enter Above)ESI-0030 *HC Poster* HealthCare Posters (Enter Above)ESI-0045 *HC Testimonial Poster* HealthCare Member Testimonial Posters (Enter Above)Higher Education Intro Brochures *ESI-0009* Member Cards *ESI-0020* Self Help Flyers *ESI-0040* Posters *ESI-0031* Member Testimonial Posters *ESI-0046* ESI-0009 *HED Intro Brochure* Higher Education Intro Brochures (Enter Above)ESI-0020 *HED Member Card* Higher Education Member Cards (Enter Above)ESI-0040 *HED Self Help Flyer* Higher Education Self Help Flyers (Enter Above)ESI-0031 *HED Poster* Higher Education Posters (Enter Above)ESI-0046 *HED Testimonial Poster* Higher Education Member Testimonial Poster (Enter Above)Union AP Intro Brochure *ESI-0014* Member Cards *ESI-0025* Self Help Flyers *ESI-0043* Posters *ESI-0035* Member Testimonial Posters *ESI-0049* ESI-0014 *Union Intro Brochure* Union AP Intro Brochures (Enter Above)ESI-0025 *Union Member Card* Union AP Member Cards (Enter Above)ESI-0043 *Union Self Help Flyer* Union AP Self Help Flyers (Enter Above)ESI-0035 *Union Poster* Union AP Poster (Enter Above)ESI-0049 *Union Testimonial Poster* Union AP Member Testimonial Posters (Enter Above)Public Safety Intro Brochures *ESI-0011* Member Cards *ESI-0022* Self Help Flyers *ESI-0041* Posters *ESI-0032* Member Testimonial Posters *ESI-0047* Certified Financial Coaching Inserts *ESI-0003* Counseling Help Flyers *ESI-0005* Legal Flyers *ESI-0016* Personal & Professional Coaching Flyers *ESI-0028* Quad (Issue Category Flyers) *ESI-0037* Wellness Coaching Flyers *ESI-0051* ESI-0011 *PS Intro Brochure* Public Safety Intro Brochures (Enter Above)ESI-0022 *PS Member Card* Public Safety Member Cards (Enter Above)ESI-0041 *PS Self Help Flyer* Public Safety Self Help Flyers (Enter Above)ESI-0051 *PS Wellness Coaching Flyer* Public Safety Wellness Coaching Flyers (Enter Above)ESI-0005 *PS Counseling Help Flyer* Public Safety Counseling Help Flyers (Enter Above)ESI-0028 *PS P&P Coaching Flyer* Public Safety Personal & Professional Coaching Flyers (Enter Above)ESI-0016 *PS Legal Flyer* Public Safety Legal Flyers (Enter Above)ESI-0037 *PS QUAD* Public Safety Quad - Issue Category Flyers (Enter Above)ESI-0003 *PS Certified Financial Insert* Public Safety Certified Financial Coaching Insert (Enter Above)ESI-0032 *PS Poster* Public Safety Posters (Enter Above)ESI-0047 *PS Testimonial Poster* Public Safety Member Testimonial Posters (Enter Above)TotalCare Intro Brochure *ESI-0013* Member Cards *ESI-0024* Self Help Flyer *ESI-0042* Posters *ESI-0034* Member Testimonial Posters *0048* ESI-0013 *TC Intro Brochure* TotalCare Intro Brochures (Enter Above)ESI-0024 *TC Member Card* TotalCare Member Cards (Enter Above)ESI-0042 *TC Self Help Flyer* TotalCare Self Help Flyers (Enter Above)ESI-0034 *TC Poster* TotalCare Posters (Enter Above)ESI-0048 *TC Testimonial Poster* TotalCare Member Testimonial Posters (Enter Above)Organization Specific Lee Health Concorde Career Colleges Lee Health Intro Brochures *ESI-0010* Member Cards *ESI-0021* ESI-0010 *Lee Health Intro Brochure* Lee Health Intro Brochures (Enter Above) ESI-0021 *Lee Health Member Card* Lee Health Member Cards (Enter Above) Concorde Career College Member Cards *ESI-0019* Benefit Summary *ESI-0001* Poster *ESI-0053* ESI-0019 *RAP Member Card* RAP - Member Cards (Enter Above)ESI-0001 *RAP Benefit Summary* RAP - Students Benefit Summary (Enter Above)ESI-0053 *RAP Poster* RAP Posters (Enter Above)Notes / Special InstructionsSales Rep Name:* CAPTCHA