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Take your first step on the path to proper prenatal nutrition by trying
VITAFOL GUMMIES-FirstStep!
Yes, I would like a free sample VITAFOL Gummies-FirstStep.*
(Please note, there is no cost associated with free sample.)
Which product would you like to try?
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Vitafol Gummies-FirstStep
How did you learn about the VITAFOL Gummies-FirstStep sample offer?*
How did you learn about the VITAFOL ULTRA-FirstStep™ sample offer?
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Visit to my doctor's office
Phone call to my doctor's office
From a friend
Online Search
Other
Please tell us your doctor's name and practice location.
Doctor's Name:
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Patient’s Info
Name
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Street Address*
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At what stage are you in your pregnancy?*
At what stage are you in your pregnancy?*
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Trying
First Trimester
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Third Trimester
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Contact*:
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I understand that the VITAFOL ULTRA-FirstStep™
*
I understand the VITAFOL Gummies-FirstStep™ sample is a one-time free offer, including shipping, that is being sent at my request, and that my personal information may only be shared with the parties responsible for fulfilling this request.*
I agree to receive important nutritional information
I agree to receive important nutritional information and updates by email from the makers of VITAFOL®.
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