Brochure/Sample Request Form

CUSTOMERS

We're happy to help answer any questions. Please use the contact form on our Contact Page and we will respond within a business day.

HEALTH PROFESSIONALS

Feel free to request a free sample set below which includes:

1 Babybellyband Original Maternity Belt
1 Groin Band Set for Compression Therapy
1 Set of Shoulder Straps
Educational Brochures*
Tear Off Notepads*

*More brochures and notepads can be requested at anytime for free.

We are pleased to provide Babybellyband educational brochures and a free sample set to Health Professionals actively providing services in the field of Pelvic Floor Physical Therapy, Obstetrics/Gynecology, Midwifery, Doula or Pregnancy support, Childbirth Education, Urogynecology, Oncology, Lymphedema, or any other medical professional working with patients experiencing pelvic pain. Please fill out the below request form in full. Note: By submitting this form you agree to be automatically subscribed to our mailing list. You will be able to unsubscribe at any time.

Name*
First Last
Name of Business*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Website of Practice
Phone*
Quantity of Brochures*
How many brochures would you like to order?
If other, specify how many brochures here.
Would you like a sample set? Please select "no" if you already have one.
- Yes
- No
Number of Practice Locations*
How many location does your practice serve? We can send sample sets for each location if this is helpful.
If other, specify how many practice locations?
Where did you hear about Babybellyband Products?*
Any other comments or questions.
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Email Us at:

[email protected]

Call Us at:

860.238.7788

Send Us Mail at:

Cabea, LLC Orthopedic Design
210 Holabird Ave,
Studio 204
Winsted, CT 06098