Single Sample Form – Lick Sleeve

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Of course you do. Forms suck, but in 30 seconds you'll get a FREE LICK SLEEVE.

First Name *

Last Name *

Email *

Hospital Name *

Requested Sample Size (pick 1) *

Leg Sleeve (XXS) 7-13 lbs / 3-6 kg
Leg Sleeve (XS) 13-20 lbs / 6-9 kg
Leg Sleeve (S) 20-30 lbs / 9-14 kg
Leg Sleeve (M) 30-50 lbs / 14-23 kg
Leg Sleeve (L) 50-80 lbs / 23-36 kg
Leg Sleeve (XL) 80-120 lbs / 36-54 kg
Leg Sleeve (XXL) 120-150 lbs / 54-68 kg

Recovery Suit (XXS)
Recovery Suit (XS)
Recovery Suit (S)
Recovery Suit (M)
Recovery Suit (L)
Recovery Suit (XL)
Recovery Suit (XXL)

Rear Bilateral (XXS)
Rear Bilateral (XS)
Rear Bilateral (S)
Rear Bilateral (M)
Rear Bilateral (L)
Rear Bilateral (XL)
Rear Bilateral (XXL)

Copyright: Lick Sleeve, LLC all rights reserved

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Invia richiesta di recesso

Si prega di compilare il seguente modulo per inviare la richiesta di recesso.