Sample Request

Sample Request
Name:

Email Address:

Choose the type of business where product trials will be sent: Health Food Store
Natural Health Practitioner
Pharmacy


Name & Mailing Address of location:

I would describe myself as:

Contact name for above location:

Phone number for above location:

I understand that product samples can only be sent to a natural product or service related business address. The purpose of the sample request is for new customers to try the product and for new retailers to consider carrying Candida Freedom products in your local area. Yes I understand