CoolJect Promo #2

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

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
Facility/Practice Name:*
Physician's Name:*

First NameLast Name
Phone Number:*
Contact Name:*

First NameLast Name
Email:*
example@example.com
Shipping Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of your medical supplier you ordered CJ02050-12 from (12 pack of CoolJect integrated nozzle topical anesthetic canisters):*
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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CoolJect® TargetedMist™ Promotion #2