NYIC KYR MATERIALS REQUEST FORM
Please utilize this form to request the shipment of Community Engagement materials to your office/home location.
Orders are fulfilled on a Quarterly basis as follows:
January - March Submissions will be fulfilled in April
April - June Submissions will be fulfilled by July
July - September Submissions will be fulfilled by October
October - December Submissions will be fulfilled by January
The NYIC remains the right to decline the fulfillment of any requests. Completion of this request form does not guarantee your order will be fulfilled.
If you have questions regarding this form, please contact Wennie Chin, wchin@nyic.org.
Organization Name
Staff First Name
Staff Last Name
Staff Email
Delivery Address
Street
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
Phone Number
How do you intend on using these materials?
MATERIAL REQUEST
Select the material(s) you are requesting. (Note: you can request multiple items on the same form)
Immigrants & NY poster
Immigrants & Upstate NY poster
Know Your Rights card
El Poder de Prepararse booklet
What Is Asylum? poster
If You See Immigration Enforcement Palm Card
Know Your Rights with CBP
Immigrants & NY poster
View sample
CUP & NYIC: Immigrants & NY poster
8x11", folds out to 32x22"
English, Spanish, French; 3-in-1
Quantity (multiples of 50)
Immigrants & Upstate NY poster
View sample
CUP & NYIC: Immigrants & Upstate NY poster
7.75x11", folds out to 23.75x11"
English, Spanish, French; 3-in-1
Quantity (multiples of 50)
Know Your Rights card
View sample
Palm/wallet cards
2x3.5"
English on one side; choice of language on other side
Quantity (multiples of 100)
Language
Please select...
English/Arabic
English/Bangla
English/Burmese
English/Chinese
English/Dari
English/English
English/French
English/Haitian Creole
English/K'iche'
English/Karen
English/Kinyarwanda
English/Korean
English/Nepali
English/Pashto
English/Q'eqchi'
English/Russian
English/Somali
English/Spanish
English/Swahili
English/Ukrainian
English/Urdu
English/Vietnamese
English/Wolof
El Poder de Prepararse booklet
View sample
¡El Poder de Prepararse! Como prepararse en casoeres arrestado por ICE (How to prepare in case you are arrested by ICE)
3.5x5.5", 12 page booklet
Spanish only
Quantity (multiples of 50)
What Is Asylum? poster
View sample
CUP: What is Asylum? poster
8x11", folds out to 32x22"
English, Spanish, French; 3-in-1
Quantity (multiples of 50)
If You See Immigration Enforcement Palm Card
View sample
5.5" X 8.5" Cardstock
Single Language
English, Spanish, Arabic, Chinese, French
Quantity (multiples of 25)
Language
Please select...
English
Spanish
Arabic
Chinese
French
Know Your Rights with CBP Palm Card
View sample
5.5" X 8.5" Cardstock
Single Language
English, Spanish, Arabic, Chinese, French
Quantity (multiples of 25)
Language
Please select...
English
Spanish
Arabic
Chinese
French