AMTA Request - Sombra® USA

This page is only available to the American Massage Therapy Association Chapters. We must be able to confirm the person requesting samples for this association on the AMTA state website. Please request samples of our professional line at no charge for your AMTA chapter. Please fill out and submit this form four weeks prior to the date you will need samples to arrive.

Please do not submit your sample request more then 60 days prior to date that you need samples DELIVERED.

Name*
First Last
Name of Chapter*
Email Address*
Phone Number*
Type of Event*
Event Name*
Date Samples are Needed*
MM slash DD slash YYYY

(Please allow 4 weeks lead time)
Event Start Date*
MM slash DD slash YYYY
Event End Date*
MM slash DD slash YYYY
Number of Chapter Members*
Expected Attendance Number*
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Please select from the following products:
Massage Line
- Sombra® Hemp Massage Crème
Original Pain Relief
- Sombra® Warm Pain Relief
- Sombra® Cool Pain Relief
PLUS CBD Pain Relief
- Sombra® PLUS CBD Warm Pain Relief
- Sombra® PLUS CBD Cool Pain Relief
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Email
This field is for validation purposes and should be left unchanged.