Ultra XCID Sample

Quote From Site: "It's one thing to say that Ultra XCID™ works fast and tastes great, it's another thing to prove it. That's why we're offering you a complimentary sample of Ultra XCID™ just for completing the form below."
Ultra XCID Sample

Here's the copy and paste link if above link doesn't work:

http://startsampling.com/sm/100346/captureAddress.iphtml?item=100346&source=

FYI: Please allow 6-8 weeks for delivery. Available to U.S. Residents only. Limit one sample per household. You must be 18 or older to receive this sample.

What do I have to provide:

Name/Address
E-mail
Gender
Date of birth
Short survey

After registration form was sent: Thank you! You should receive your sample in 6-8 weeks.

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