International Patient Education Orders - Shipping Quote

Please complete the following form, indicating your contact information, shipping address, and products you are interested in ordering.

You will receive a quote for international shipping charges via email shortly.

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Shipping Address
Billing Address
(select all that apply)
DVDs (Free of Charge)
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Patient Self-Management Guides (See Pricing Under Each Product)
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Members - $64 US/box; Non-Members - $90 US/box
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Members - $64 US/box; Non-Members - $90 US/box
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Members - $64 US/box; Non-Members - $90 US/box
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Free of charge - limit 2 free boxes
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Free of charge - limit 2 free boxes
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Free of charge - limit 5 free boxes
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Members - $64 US/box; Non-Members - $90 US/box
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Members - $64 US/box; Non-Members - $90 US/box
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Free of charge - limit 2 free boxes
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Free of charge - limit 2 free boxes
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Health TiPS (Free of Charge)
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Patient FACTS
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