Center of Excellence Brochure Order Form

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Your Name*

First Name

Last Name

Your Organization*

Phone (xxx) xxx-xxxx*

Email*

To order materials, select quantity from the drop down boxes below. To view printable copies, click here.

Get To Know Your Cholesterol 8.5" x 11" (English version)

Get To Know Your Cholesterol 8.5" x 11" (Spanish version)

Get To Know Your Cholesterol Trifold (English version)

Get To Know Your Cholesterol Trifold (Spanish version)

Healthy Eating Made Delicious (English version)

Healthy Eating Made Delicious (Spanish version)

Manage Your Diabetes (English version)

Manage Your Diabetes (Spanish version)

Prevent Type 2 Diabetes (English version)

Prevent Type 2 Diabetes (Spanish version)

Control Your High Blood Pressure (English version)

Control Your High Blood Pressure (Spanish version)

My Blood Pressure Log (English version)

My Blood Pressure Log (Spanish version)

Know Your Health Numbers 8.5 x 11 Poster (English version)

Know Your Health Numbers 8.5 x 11 Poster (Spanish version)

What organization will use the materials?*

How will the materials be used?*

Pharmacy rack refill Use at an event Other

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Please allow 2 weeks for delivery.