Order SAMHSA Grant Materials Please complete the following form to request SAMHSA Grant Materials. Name* Coalition Email* Phone Number* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Where will you be using the requested materials?* Safe StorageBHSP16 | Gun Locks15102550Gun locks can be utilized by inserting the cable through the magazine well and out the ejection port, lock the cable and remove the key. If access to a firearm can be restricted during a time of crisis, a life can be saved. For orders over 100+, please email your request to dssprevcont@state.sd.us Order A Free Medication LockboxPlease visit https://www.avoidopioidsd.com/take-action/medication-lock-boxes/ to order a free medication lock box. BeThe1SD.comPlease visit http://BeThe1SD.com for examples of these materials. BHSPB01 | Bethe1SD Brochure Quantity15102550 BHSPB02 | Bethe1SD Flyer Quantity15102550BHSPB03 | Bethe1SD Bi-Fold Card Quantity15102550 BHSPB05 | Bethe1SD Keychain Quantity15102550 BHSPB09 | Bethe1SD Magnetic Clip Quantity15102550 American Indian Reach for LifePlease visit https://sdsuicideprevention.org/specific-populations/american-indian/ for examples of these materialsIf you are needing a large quantity of the American Indian Reach for Life materials, please consider ordering an American Indian Reach for Life toolkit below. BHSPR01 | Reach for Life Bi-Fold Quantity15102550BHSPR02 | Reach for Life Flyer Quantity15102550BHSPR03 | Reach for Life Bracelets Quantity15102550 BHSPR05 | Reach for Life Sticker Quantity15102550BHSPR06 | Reach for Life Keychain Quantity15102550BHSPR07 | Reach for Life Magnetic Clips Quantity15102550American Indian Reach for Life ToolkitThe American Indian Reach for Life Toolkit includes: BHSPRKIT | Native American Reach for Life Toolkit12345Specific Population Material: LGBTQPlease visit https://sdsuicideprevention.org/specific-populations/lgbtq/ for examples of these materialsBHSPL01 | Always Help Poster: Unisex Quantity15102550Specific Population Material: Military/VeteransPlease visit https://sdsuicideprevention.org/specific-populations/veterans/ for examples of these materialsBHSPM01 | Military Poster15102550