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Medical Office Complimentary Supplies Request
The Bedwetting Store can provide your office with a free supply of catalogs.
The catalogs are designed to be distributed to patients' families and offer a wide selection of enuresis alarms and waterproof bedding. These hard-to-find items can now be conveniently purchased from the privacy of home; customer packages are marked only with our company initials to assure privacy. To get a Provider Kit sent to your office, simply fill out the form below. If you are requesting additional complimentary catalogs, fill out the form below and check how many catalogs you'd like to receive.


Please enter your medical office address to qualify for the items below:
First Name: Last Name:
Address: Address 2:
City: State:
Zip Code: Other State/Province:
Phone: Email Address:

First time here?
Please send me a complimentary kit
of 25 catalogs and educational materials for my patients. (You'll also receive a catalog stand and a complimentary copy of Seven Steps to Nighttime Dryness)

Or if you are re-ordering catalogs:
Please select (one) quantity below
10 25 50 100

Also send me this quantity catalogs every 6 months


Please send me a complimentary copy of Seven Steps to Nighttime Dryness
seven steps book
Please send me a complimentary Patient Demonstration Kit
seven steps book

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