Free Hypoallergenic Pillowcase

Quote from site: "Tell us a little about your allergies? We'll thank you with a free hypoallergenic pillowcase.

By filling out the scorecard I would like to receive a hypoallergenic pillowcase to keep dust mites at bay.

Please take a minute to fill out the Allergy Symptom Scorecard, print out the results and share them with your healthcare professional.

Allergies shouldn't hold you down. With the Allergy Symptom Scorecard, you can share with your doctor how your symptoms are impacting your life — so he/she can put together a treatment plan that works."

http://www.xyzal.com/Allergy_Appointment/Help_You.aspx

What do I have to provide:

Short survey
Name/Address
E-mail
Gender
Three questions

FYI: USA. Offer available while supplies last. One per household.

After registration form was sent: Thank You. There's a new choice in allergy treatment that may work for you. Print out the results of the Allergy Symptom Scorecard, bring them to your next doctor visit and ask if XYZAl is right for you. Your free hypoallergenic pillowcase should arrive within 6-8 weeks!

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