CoolJect® TargetedMist™ Promotion #2
Place your first order of ITEM NUMBER: CJ02050-12 (12 pack of CoolJect canisters) with your medical supplier. Promotion is limited to one per practice location. VapoCoolShot will ship the selected promotional product after verifying your CJ02050-12 order.
Select one promotional option below:
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CJ01050-00
Reusable Syringe Holder Accessory for CoolJect integrated nozzle canisters. Universal for Right or Left handed use. Get 1, free, with your first order of CJ02050-12 (12 pack of CoolJect canisters) *Limit one per practice address.
$
Free
Quantity
1
CJ02050-00
CoolJect Topical Anesthetic integrated nozzle (Net: 2 WT. OZ.) Get 3, free, with your first order of CJ02050-12 (12 pack of CoolJect canisters) *Limit one per practice address.
$
Free
Quantity
3
Facility/Practice Name:
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Physician's Name:
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First Name
Last Name
Phone Number:
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Contact Name:
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First Name
Last Name
Email:
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example@example.com
Shipping Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of your medical supplier you ordered CJ02050-12 from (12 pack of CoolJect integrated nozzle topical anesthetic canisters):
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Who did you purchase CoolJect from?
Order number associated with your CoolJect order:
Order number provided by your medical supplier?
Please verify
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