Stop Nosebleeds - Request Info/Sample

Regardless of your nose bleed cause request your FREE Single-Use Sample of NasalCEASE for Nosebleeds today!

We’re so convinced you’ll love NasalCEASE after using your single-use sample to stop your next
bloody nose, we’ll include $3 in money-saving coupons (3 – $1 coupons) good toward your
next purchases of NasalCEASE.

We'll also add your name to our preferred customer mailing list so that we can continue to send you money-saving offers and updated news and information about NasalCEASE for the treatment of bloody noses.

If you have questions about NasalCEASE, please e-mail them to: info@catalina-healthcare.com
or call us toll free at 800-650-NOSE (6673).

* Sample requests are limited to one per household. Your credit card will be charged $1.50 for shipping only.

	Credit Card Information *Required Field
Cardholder's Name:*
Type:* Number:*
Security Code:* Help
Exp.:*

Billing Address (Required)
Enter name exactly as it appears on credit card
First Name:*
Last Name:*
E-mail:*
Phone:*	- -
Address:*
Address 2:
City:*
State:*
Zip Code:*

Shipping Address (Required)
Same as billing address.
First Name:*
Last Name:*
E-mail:*
Phone:*	- -
Address:*
Address 2:
City:*
State:*
Zip Code:*