Request for Printed Copies of NC's Guide to Diabetes Prevention and Management 2020

The NC Diabetes Advisory Council has made printed copies of this guide available for organizations to distribute at no cost.

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* 1. Please Enter Your Contact Information for Mailing

First and Last Name (Attn:) *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. How Many Guides Are You Requesting?

5

10

15

20

25

30

35

40

45

50

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* 3. Briefly Describe Your Expected Distribution Plan for the Requested Guides

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* 4. Have You Viewed The PDF Version Of This Guide?
https://www.diabetesnc.com/diabetes-advisory-council/

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* 5. Additional Comments About Your Request