Product Sample Checkout |Dansac NZ


Please provide the following information and we will send your free samples to you right away.

Customer Information
Prescription File (optional)
  • In order to facilitate your sample request, please upload a copy of your prescription.

    By clicking the button “yes, I consent” below, I declare my consent that Liberty Medical NZ Limited, as well as its related companies, may collect, process, and use the personal information I provide for purposes of providing me with any product sample(s) I have requested, contacting me to follow-up regarding any product sample(s) I have requested, and providing me with information about Hollister or Dansac and their products and services.

    Further information on Hollister’s privacy practices can be found here.

The information provided herein is not medical advice and is not intended to substitute for the advice of your personal physician or other healthcare provider. This information should not be used to seek help in a medical emergency. If you experience a medical emergency, seek medical treatment in person immediately.