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Athletic Trainer Sample Kit Request Form

Provided by Alert Services and Stopain Clinical®

Alert Service's Athletic Trainer Sample Kits Include the following:
  • 1 Stopain® Clinical Professional Brochure – For the Athletic Trainer to keep as an overview of the attributes and uses of Stopain Clinical
  • 1 bag of 10 Stopain® Clinical Gel Sample Packets – For utilization of the product on your patients during treatment (samples are not single use packets and can be used for multiple treatments)
  • 1 Stopain® Clinical Product Sales Sheet – Shows benefits and points of difference to competitive products, varying products in the line, and in-office sales support material.
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* denotes required field

First Name*
Last Name*
Number of Clinics *
Number of Doctors *
Number of Daily Patients Seen *
Current Analgesic Used *
Current Analgesic Distributor *
Shipping Attention Name*
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