Sombra Cosmetics


	Professionals: Sample Kit Request

Please fill out all information below so that we can process your request as soon as possible. The sample kit is valued at $25.00, you only pay the shipping cost of $8.00. We ship only to addresses in the contiguous United States. A Sombra representative will contact you by phone to process your order. Our hours are 7:30AM - 4:30 PM Monday - Friday Mountain Time.

Company		Title

First Name	Middle	Last Name

Street Address		Apartment, Suite Unit #

City	State	Zip Code


Country	Phone	Email

Professional License/ Certificate Number (for Students indicate current school)

Massage Therapist Sample Kit includes: Professional Product Brochure 2 oz. Sombra Natural Pain Relieving Gel - Warm Therapy 2 oz. Sombra Natural Pain Relieving Gel - Cool Therapy 1 oz Sombra Natural Gel Oil 1 oz Sombra Massage Creme 1 oz Sombra Massage Lotion

Chiropractor / Physical Therapist Sample Kit includes: Professional Product Brochure 2 oz. Sombra Natural Pain Relieving Gel - Warm Therapy 2 oz. Sombra Natural Pain Relieving Gel - Cool Therapy 1 oz Sombra Natural Gel Oil 1 oz Sombra Massage Creme 1 oz Sombra Massage Lotion 2 oz Ultrasound Gel with Aloe 2 oz Therapeutic Ultrasound Lotion with Menthol and Capsaicin
How did you hear about the Sombra sample kit?


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Thanks for registering!