Event Request Form

Due to the daily changes of our current world and the recommendations by the CDC for social distancing. We are temporarily discontinuing samples for all events! Hopefully this will help us flatten the curve together and keep everyone HEALTHY. Thank you for your understanding during these unique times. We hope that you are safe and staying healthy. We look forward to assisting you with samples again in the future. THANK YOU for your continued support over the past 45 years!

The trial sized samples are available in the Sombra Warm and Cool Therapy. These are offered at no charge for event purposes to CERTIFIED HEALTH PROFESSIONALS ONLY.  Please fill out this form in full and submit it at least four (4) weeks prior to the date that you need samples to arrive. Attach a copy of the schedule, event program or flyer along with this form using the Attach File button. Quantities sent may vary from quantities requested. We will only ship to addresses in the United States.

Please do not submit sample request more then 60 days prior to date that you need samples delivered.

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