Move Free® Advanced NP/PA Sample Request

Thank you for your interest in this special opportunity!
To receive your (5) PROFESSIONAL SAMPLES of Move Free® Advanced to give to your patients,
please complete the form below. (All fields are required.)

Title
First Name
Last Name
State License Number
State Licensed In



Your samples will be sent to you at the following address:
Name of Practice
Street Address
City
State
Zip
Email
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Are you currently recommending a Glucosamine/Chondroitin product to your patients? Yes No
If so, which one?


How did you hear about this offer?



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I attest that I AM A LICENSED PHYSICIAN ASSISTANT OR NURSE PRACTITIONER who can legally practice in at least one state or US territory (or that I practice in the military services NP or PA). I understand that making a false claim about being a licensed or certified PA or NP is illegal in all states.

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Please allow 4-6 weeks for delivery. Offer limited to 1 (one) request per practitioner. Offer limited to adults 18 or older. This offer is valid for residents of the USA only, while supplies last. Offer void where prohibited, taxed or regulated. Schiff is not responsible for samples lost in the mail.

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