To obtain a Free 2oz bottle of PlaqClnz Gel, please complete this form and include your groomer's salon name, address and phone number. We will send a free product sample to you and your groomer for product evaluation.

Offer limited to the first 5,000 inquiries. As of 4pm Mountain Standard Time on Friday, August 27th we have exceeded 5,000 inquiries. We appreciate the enthusiastic response. Keep checking back in the future for more promotions.

Items marked with an asterisk (*) are required.

<a href="https://secure.blueoctane.net//forms/EL93FRA9K5PS">Click Here To Load This Formexperts.com Form</a>

Please allow up to four weeks to receive free product. Offer limited to one bottle per pet owner and one per grooming salon. Providing misleading information will void free sample offer. Hurry! Offer expires 9/4/2010.