Promotion Submission

Thank you for taking advantage of our CELLTREAT promotion.

Please fill out the promotion form below. All fields marked with an asterisk (*) are required. 

If you require further assistance, please email or call 877.345.4620.

Please allow 4 - 6 weeks for delivery of your free product(s).

(no PO Boxes)
Found on the bottom right corner of the promotion form, or use promotion name
Please enter the part number of each free case requested, separated by a comma
Please attach a copy of your proof of purchase (invoice, packing slip, sales order confirmation). Accepted file formats are .pdf, .doc, or .xls