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You will receive a quote for international shipping charges via email shortly. * Required field First Name * Middle Initial Last Name * E-mail * ACP ID (if applicable) Shipping Address Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Region * Zip/Postal Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Billing Address Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Region * Zip/Postal Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Select the Patient Education type(s) you would like to order: DVDs Patient Self-Management Guides Health TiPS Patient FACTS (select all that apply) DVDs (Free of Charge) (110332120) 6 Video Diabetes DVD Quantity (110332210) Acute Coronary Syndrome DVD Quantity (110332200) Alzheimers Disease DVD Quantity (110332140) COPD Booklet/DVD Quantity (110332170) Excess Weight & Your Health Booklet/DVD Quantity (110332220) Exocrine Pancreatic Insufficiency: A Guide for Patients (Booklet/DVD) Quantity (110332160) Gout Booklet/DVD Quantity (110551000) Managing Your High Cholesterol: A Guide for Patients and Families (Booklet/DVD) Quantity (110332180) Prediabetes DVD Quantity (110332230) Relief in Sight: Coping with Long Lasting Pain (DVD/Booklet) Quantity (110332130) Simple AIDS Booklet/DVD Quantity (110332190) Taking Your Blood Pressure DVD Quantity Patient Self-Management Guides (See Pricing Under Each Product) (11033420E) Diabetes Guides (English) - Box of 40 Quantity Members - $64 US/box; Non-Members - $90 US/box (11033420S) Diabetes Guide (Spanish) - box of 40 Quantity Members - $64 US/box; Non-Members - $90 US/box (11033420C) Diabetes Guide (Chinese) - Box of 40 Quantity Members - $64 US/box; Non-Members - $90 US/box (11033410E) Heart Guides English - Box of 40 Quantity Free of charge - limit 2 free boxes (11033410S) Heart Guides Spanish - Box of 40 Quantity Free of charge - limit 2 free boxes (11033102E) Keeping Heart Healthy Booklets (English) - box of 50 Quantity Free of charge - limit 5 free boxes (11033430E) Lose Weight Guides (English) - box of 40 Quantity Members - $64 US/box; Non-Members - $90 US/box (11033430S) Lose Weight Guides (Spanish) - box of 40 Quantity Members - $64 US/box; Non-Members - $90 US/box (11033440E) Live Better with Rheumatoid Arthritis (English) - box of 40 Quantity Free of charge - limit 2 free boxes (11033440S) Live Better with Rheumatoid Arthritis - Spanish (Box of 40) Quantity Free of charge - limit 2 free boxes (11035010E) Afib Guide English Quantity (11035010S) Afib Guide Spanish Quantity Health TiPS (Free of Charge) (11033601E) AFIB (ENGLISH) - PAD OF 50 Quantity (11033601S) AFIB (SPANISH) - PAD OF 50 Quantity (11033602E) After Your Heart Attack (English) - pad of 50 Quantity (11033602S) After Your Heart Attack (Spanish) - pad of 50 Quantity (11033605E) COPD (English) - pad of 50 Quantity (11033606E) DEMENTIA (English) - pad of 50 Quantity (11033606S) DEMENTIA (Spanish) - pad of 50 Quantity (11033607E) Depression (English) - pad of 50 Quantity (11033607S) Depression (Spanish) - pad of 50 Quantity (11033609E) Erectile Dysfunction (English) - pad of 50 Quantity (11033609S) Erectile Dysfunction (Spanish) - pad of 50 Quantity (11033610E) Fibromyalgia (English) - pad of 50 Quantity (11033610S) Fibromyalgia (Spanish) - pad of 50 Quantity (11033611E) FLU (English) - pad of 50 Quantity (11033611S) FLU (Spanish) - pad of 50 Quantity (11033612E) GOUT (English) - pad of 50 Quantity (11033612S) GOUT (Spanish) - pad of 50 Quantity (11033614E) HIV/AIDS (English) - pad of 50 Quantity (11033614S) HIV/AIDS (Spanish) - pad of 50 Quantity (11033615E) Hypertension (English) - pad of 50 Quantity (11033615S) Hypertension (Spanish) - pad of 50 Quantity (11033628E) Irritable Bowel Syndrome - English (Pads of 50) Quantity (11033628S) Irritable Bowel Syndrome - Spanish (Pad of 50) Quantity (11033616E) LOW T (English) - pad of 50 Quantity (11033616S) LOW T (Spanish) - pad of 50 Quantity (11033617E) Opioid Constipation (English) - pad of 50 Quantity (11033617S) Opioid Constipation (Spanish) - pad of 50 Quantity (11033618E) Opioid Pain (English) - pad of 50 Quantity (11033618S) Opioid Pain (Spanish) - pad of 50 Quantity (11033619S) Osteo Arthritis (Spanish) - pad of 50 Quantity (11033620E) Osteoporosis (English) - pad of 50 Quantity (11033620S) Osteoporosis (Spanish) - pad of 50 Quantity (11033622E) PAD (English) - pad of 50 Quantity (11033621E) PAIN (English) - pad of 50 Quantity (11033621S) PAIN (Spanish) - pad of 50 Quantity (11033622S) Peripheral Arterial Disease - PAD (Spanish) - pad of 50 Quantity (11033623E) Psoriasis (English) - pad of 50 Quantity (11033623S) Psoriasis (Spanish) - pad of 50 Quantity (11033624E) Rheumatoid Arthritis (English) - pad of 50 Quantity (11033624S) Rheumatoid Arthritis (Spanish) - pad of 50 Quantity Patient FACTS (11050101E) Patient FACTS: Atrial Fibrillation, English - pad of 50 Quantity (11050101S) Patient Facts: Atrial fibrillation (Spanish) - pad of 50 Quantity (11050102E) Patient FACTS: Deep Vein Thrombosis, English - pad of 50 Quantity (11050102S) Patient Facts: Deep Vein Thrombosis (Spanish) - pad of 50 Quantity (11050103E) Patient FACTS: High Cholesterol, English - pad of 50 Quantity (11050103S) Patient Facts: High Cholesterol (Spanish) - pad of 50 Quantity (11050104E) Patient FACTS: Heart Failure, English - pad of 50 Quantity (11050104S) Patient Facts: Heart Failure (Spanish) - pad of 50 Quantity (11050105E) Patient FACTS: Hypertension, English - pad of 50 Quantity (11050105S) Patient Facts: Hypertension (Spanish) - pad of 50 Quantity (11050106E) FACTS Patient Facts: Migraine (English) - pad of 50 Quantity (11050106S) FACTS Patient Facts: Migraine (Spanish) - pad of 50 Quantity (11050107E) FACTS Patient Facts: Osteoporosis (English) - pad of 50 Quantity (11050107S) FACTS Patient Facts: Osteoporosis (Spanish) - pad of 50 Quantity