Order Forms

PPASS has taken on the challenge to help Rotary International’s Polio Plus Program raise money for Polio vaccinations in the few remaining pockets around the world where Polio still exists. Who better to help Polio survivors, than their friends and families.

Please choose an item below, and mail in your order – every penny helps to vaccinate a child!  


Bumper sticker order form in PDF 


Also available as a PPASS fundraiser Polio Memories 2nd edition.

Polio Memories order form in PDF

Polio Memories – a record of courage and fortitude by Polio survivors.