Event Request Form

The Sombra Natural Pain Relieving Gels trial sized samples are available in the Warm and Cool therapy. These are offered at no charge for event purposes to CERTIFIED HEALTH CARE PROFESSIONALS ONLY


Please fill out this form in full and submit it at least four (4) weeks prior to the date that you need samples to arrive. Attach a copy of the schedule, event program or flyer along with this form using the Attach File button. Quantities sent may vary from quantities requested. We will only ship to addresses in the United States.

Please do not submit sample request more then 60 days prior to date that you need samples DELIVERED.