Women's Heart Foundation Order Form
Healthy Hearts Guides

Please print this order form, fill it out and fax it to: 609-771-3778
or mail to Women's Heart Foundation, PO Box 7827, West Trenton, NJ 08628

ITEM	Cost	Quantity	Total
Improve Communication with your Health Practitioner (G-1)	$25 / 100
Get Smart about Smoking (G-2)	$25 / 100
Reading Food Labels - Easy as 1-2-3 (G-3) Brochure	$25 / 100
Count Your Fat Grams Worksheet (G-4)	$25 / 100
Women's Heart Risk Checklist (G-5)	$25 / 100
Self-paced Guides to Quitting Smoking(G-6)	$25 / 100
Heart Attack Symptoms - an action plan (G-7)	$25 / 100
Panic Attack or Heart Attack? - diagnosing heart disease in women (G-8)	$25 / 100
Monitoring Your Blood Pressure (G-9)	$25 / 100
Pathway for a Healthy Heart(G-10)	$25 / 100
Taking Medications (G-11)	$25 / 100
Taking Coumadin® at Home (G-11)	$25 / 100
Practicing Mindfulness (G-13)	$25 / 100
Subtotal			$
Shipping & Handling (will be added to your order)
TOTAL DUE			$