Sample Request Feel free to trial our products Tourni-cot Digital Tourniquet (4 sizes) Uni-Cot Digital Tourniquet (universal size) Balloon Extractor Nasal Foreign Body Remover Derma-Stent Abscess & Cyst Drain Product Sample* Tourni-Cot Uni-Cot Balloon Extractor Derma-Stent Full Name* First Last Email* Phone*SpecialtyEmergencyHandPodiatryPrimary CareUrgent CareOtherInstitution Name*Position*Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Why are you requesting a sample device?*Reason for SamplePersonal first aid kitI use other Mar-Med devicesImprovised methods don't work (surgical glove, vessel loop, etc.)Presenting to colleague/committee for facility adoptionEducational/Simulation PurposesOtherHow did you hear about us?*What is the percent (%) chance this request leads to your facility buying our device(s)?*Please enter a number from 1 to 100.Is there any further information or assets we can share with you to increase the percentage above?*Any Additional Comments/Notes We Should Know?