Collaterals Request Form - CHAT - Community Health Assessment Team

Use CHAT collaterals to help others know more about mental health! We provide various items such as pens, Post-it notes and Mini Guides to reach out to students and young working adults.

To get CHAT collaterals for your event or project, please complete this form and send it to us at least 1 month before the target delivery date.
We will confirm what collaterals we can provide after going through your request and checking our stocks.

Contact Person
Contact Number
Contact Email
Designation (Student, counsellor, social worker, teacher, etc)
Institution Name
Delivery Address *Please note that the delivery address cannot be changed. If you are unable to receive the delivery at this address, please pick up the items at IMH (10 Buangkok View) during office hours instead.
Delivery Contact Person *This is the person who will meet our courier.
Delivery Contact Number *We will provide this number to our courier.
Event Name & Description (Please state event purpose, venue and how CHAT's collaterals will be given out)
When does your event start?		We will require 1 month notice to prepare the collaterals. Do indicate an event start date that is 30 days from today. [None]
Who is your target audience?		Hold down the Ctrl key to select items or the Shift key to select a range of items.
How many collaterals do you need?
Anything else? :) If you have questions or feedback, please email Ms Jayce at Jayce_WE_TEO@imh.com.sg