QR Introductory Kit Request

Occupational First Aid Introductory Kit Request

To Become a Distributor and/or Obtain a List of Wholesalers: Contact Nick Wright at Biolife (800)722-7559 x118 to request a Distributor Introductory Kit and/or learn more about additional sales tools and training available to support your QR sales programs. Safety Managers / First Aid Customers: The Occupational Introductory Kit includes an Introductory Brochure including a Free Sample, a QR Fact Sheet and Laminated Card with details on QR. Please complete the information requested below to receive your free kit. * Required Fields

Company Name*

First Name*	Last Name*


Company Type*	# of Employees*


How Did You Hear About Us?*	Other Method


Please identify any special requests or questions below*




Mail Introductory Kit To:

First Name*	Last Name*


Position*


Address*



City*	State*	Zip*


Phone


E-Mail Address*





It is Biolife's policy that any information you provide will remain strictly confidential. We will not sell, rent, or distribute in any way make available, your name, email address or any other personal information to any third party under any condition.

Florida Company of the Year
Governor’s Entrepreneurship Award