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