Heart Disease and Stroke Prevention Program Order Form
Enter the quantity wanted for each item and the information requested below and press the "Submit" button at the bottom of the page.
Maximum quantity available for most items is fifty (50); however, if you are in need of a larger quantity, please call 1.800.280.5512 and press 4 for assistance.
Please allow 1 to 2 weeks for delivery.
(To preview a pdf version, click on the image)
Materials are for North Dakota facilities only, if you are from outside of North Dakota please email Tiffany Knauf.
Date Needed:
Name:
Business/Health Agency Name:
Street Address:
City: State: ND Zip:
Phone Number:
Email:
*Materials are for North Dakota facilities only, if you are from outside of North Dakota please email Tiffany Knauf.