Quitline - Resources - Order your Quit Kit

Order your Quit Kit

The Quit Kit has information to help you quit smoking.

Complete this form and a Quit Kit will be mailed to you.

This service is available to NSW residents only. Orders outside of NSW, Australia will not be processed.

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First Name*	Please enter your first name
Last Name*	Please enter your last name
Gender*	Male Female
Date of Birth*	Please enter your birthdate day Please enter your birthdate month Please enter your birthdate year
Street Number*	Please enter your street number
Street Name*	Please enter your street name
Town/suburb*	Please enter your town/suburb
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Postcode*	Please enter your postcode Your postcode must be 4 digits

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