Quitting? – Arrange a callback To arrange for Quitline to call you, please complete the form below. Or you can call Quitline on 13 QUIT (13 7848). Request a call back (from Quiz) Name*Email* Address* Street Address City Postcode Phone numberBest day or days to call*MondayTuesdayWednesdayThursdayFridayBest time to call*Please selectAMPMEveningAnyYear of birth*Gender*Please selectMaleFemaleUnspecifiedAre you of Aboriginal or Torres Strait Islander origin?*Please selectNoAboriginalTorres Strait IslanderAboriginal and Torres Strait IslanderAre you a THS (Tasmanian Health Service) employee?Please selectYesConsent* I agree to the privacy policy.Privacy is important to us and we treat your information with respect, integrity and honesty in keeping with our core values and as governed by the Privacy Act. Personal information is only collected as necessary for agreed Quit programs or activities. Our full Privacy Policy may be accessed here http://www.cancertas.org.au/privacy-statement/ If you have any queries please don’t hesitate to contact us on 03 6169 1943 or by email admin@quittas.org.auThe above question is for testing whether you are a human visitor and to prevent automated spam submissions.