Samples


Note: We sell anywhere. We send free samples with free shipping only to the US and Canada. For all other countries, samples are free, but there might be a charge for shipping.

Please write the following information:

Brand *

 

 

 

Are you an out-of-pocket buyer? *
  

Type of ostomy *
(to determine the correct product)


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Type of Stoma*
Pouch Preference:*

Select:*

Pouch Color Preference:*



(please tell us the approximate diameter)
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Shape of Stoma *
Problems *
Pouch Filter Preference:*
Barrier Type:*
Barrier Preference:*

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Please use a well format email.

Mailing address *
(where you would like the sample to be shipped)
*
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 *
(where you can be reached with any questions)
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 *
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Why put this?
This Captcha is used to avoid spam. It ensures that you are not a machine.


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