Cardio Party Information Sheet
Currently available in Arizona.
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First Name
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Last Name
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Street Address
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City
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State
Arizona
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Zip Code
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Phone Number
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Email Address
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Who referred you to us? If no one, simply type "self".
Tell us about the attendees.
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Please pick the type of event you would like to schedule or host.
Home Visit
Corporate Visit
I would like to host a public event.
Note:
Discounts apply for larger groups.
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How many will receive a screening?
1 Test - $60
2-3 Tests - $50 each
4-9 Tests - $45 each
10+ Tests - $35 each
+25 Tests call for special pricing
Choose A Date
Note: A Representative will contact you within 24 hours,
during regular work hours, to schedule your test. Regular
work hours are M-F from 8:00a.m. - 5:00p.m.
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Date Requested
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Second Choice
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Time Preference
Morning
Afternoon
Evening
Comments
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I have
read and agree
to the terms and conditions.
Yes
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Indicates Response Required