To receive a complimentary CD, “Understanding Heart Disease”, please complete the following form. Allow 4-6 weeks for delivery. Limited to one CD per household.
Shipping Address
*First Name: | |
*Last Name:: | |
*Street: | |
*City: | |
*State: | |
*Zip: | |
Email: | |
Country: | |
How did you hear about this offer? | Newspaper MD Office Web Friend/ Family Other |
Who is your Primary Care Physician? | |
*Required Field |
System requirements to run your free CD:
Tray-style CD-ROM
IBM-PC compatible only
Pentium 166 Mhz
Windows 95 +
32 MB Ram
Sound Card