Vape Check order form

Please note: Only Queensland-based workers are eligible for hard copies of the Vape Check tool.

Workers outside Queensland can access the tool via online versions (downloadable editable PDF and printer friendly version).

Dispatch of resources may take up to 2 weeks by standard parcel delivery (Australia Post).
A maximum of 20 Vape Check tools can be ordered per person, per order.

First Name*

Last Name*

Job title

Phone number

Organisation / Company name*

Email*

Postal address*

City*

Postal code*

State*

Only Queensland-based workers are eligible for hard-copies of this resource

Quantity*

Maximum 20 available per order

Notes regarding your order