PROMOTE YOUR PRACTICE WITH THE POWER OF BIOFREEZE

You already know the benefits of Biofreeze Professional. To help spread the relief provide FREE samples to your patients.

Here’s how it works:

Ideal for giving to current patients for pain relief between visits, equally ideal for handing out in the community to attract new patients.

To receive complimentary product samples, please complete the information below:

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First Name^*

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Last Name^*

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Title^*

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Email^*

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Phone^*

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Please follow the format (123-456-7890).

Discipline^*

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Practice Name^*

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Shipping Address Please use a physical address as we will not ship to PO boxes.

Suite/Unit

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State NOTE: We do not currently ship samples to Alaska or Hawaii.

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Who DO You Purchase Biofreeze Professional from?^*

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Do You Sell Biofreeze Professional^*

Yes

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Comments

I confirm I am a healthcare professional and that the samples ordered are for exclusive use by my clients or patients.

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Please send me information and updates on Biofreeze products in the future. I also acknowledge the Terms and Conditions and Privacy Policy.

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