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ConvaTec Sample Request

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Allegro Medical has partnered up with ConvaTec to offer a free sample to their customers. Fill out the form to the right and someone at ConvaTec will contact you.

Request A Sample

Contact Information

First Name

Last Name

Email Address

Phone Number

State/Province

Country

Select Product Used

Ostomy Type

By submitting this email to ConvaTec for the purposes of providing the consumer with a ConvaTec product sample, you agree and attest that:
a) the consumer has provided consent to Allegro Medical for Allegro Medical to share the consumer’s contact information with ConvaTec for the purposes of providing the product sample requested, as well as any relevant and required follow up communications as required for sampling,
b) the consumer consents to having ConvaTec call, email, text or mail the consumer about ConvaTec’s products and services as part of this sample request.

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