Free samples

To request our free samples or contact us for more information, please fill out the form below.
If you prefer to do your request by later or via fax, fill out the form, print and fax it to us at
805-692-4992. International inquires please email us:

Privacy policy:
We will
not share, sell or export your email address to any third party for any reason.


Free samples request form

* First name
Job title
Last name
Work phone
Company name
* Street
* City
Do you want to be on our email list?
* State
* Zip
    Are you currently using digital X-ray?
Sensor name

Where did you hear about us?

Please describe if "Other" is selected

Are you currently using Steri-Shield products?


Which Steri-Shield product/s are you interested in?

    Infection Control Barriers (R.S. Barrier, Non-Latex, Multi-Use, Curalastic, T-Bar, C-Bar)
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