MCOL Material Order Form  

Use this on-line order form to request various free MCOL materials. Just enter the requested information about you, select the applicable boxes and press the Order Now button to request your order.

You can also use the following links to order a MCOL membership, or order from the Managed Care Store from this web site:
  • MCOL Paid Membership Form
  • MCOL Corporate Membership Form
  • Managed Care Store
  • MCOL Free! Membership
  • HealthQuest Subscriptions

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    About You

    First Name Last Name
    Your Title:
    Your Organization: 
    Your Mailing Address: 
    City:   State   Zip 
    Your Phone:
    Your Fax:
    Your E-Mail Address:

    :What items are your requesting?

    MCOL Brochures: 
    MCOL Membership Flyer   
    HealthQuest Products Flyer  
    HealthQuest Subscription Brochure
    MCOL Software Flyer
    MCOL Managed Care Training Kit Pharmaceutical Edition Flyer
    MCOL Managed Care Training Manual Flyer
    MCOL Consumer Driven Care Training Kit Flyer
    Heatlhcare Web Summit CD-ROMs
    MCOL e-Dictionary Flyer
    CAP-MAN Flyer 
    Global Health Resources Flyer  
    Corporate Memberships 

    MCOL Advertising Kit 

    How do you want your items sent?
    Mail available to U.S. Residents Only. International visitors will receive items via e-mail
    Mail: E-Mail  

    Comments:

     
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    Write: MCOL 1101 Standiford Ave., Suite C-3, Modesto, CA 95350

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