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Hearing Distressing Voices Products

Organization Information

First Name

Last Name

Organization Name

Contact Email

Phone Number

Billing Address

Billing Street Address

Address (line 2, if needed)

City

State

ZIP Code

Country

Billing Email

Shipping Address

Same as billing?

Products Requested

Enter quantity needed for each item. Enter 0 if not needed.

Toolkit for Mental Health Professionals

Toolkit for First Responders

Toolkit Bundle (includes both toolkits)

Preloaded Mp3 Players

*Sold in sets of 10

Personal Medicine Guide for Distressing Voices

Toolkit Access

Each toolkit comes with access for up to 6 facilitators. We will need details for at least one facilitator to process your order.

Please provide details below for the facilitator(s) that will need access to the toolkit.

Full Name (first and last)

Email

Do you have other facilitators to be added now?

Additional Facilitators

Please list the additional facilitator(s) below using the format; FULL NAME, EMAIL (each facilitator added to their own line/box)

Purchase Details

Will you be sending a Purchase Order?

PLEASE NOTE: If sending a Purchase Order, we will process your order once PO is received. Otherwise, we will send an invoice once you've approved our quote and your order will be process once payment is received.

Tax Status

Is your organization Tax exempt?

Additional Notes

Let us know if you need to share any other details about your order: