Luitpold Animal Health - Equine Therapy

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Share Your Experience

We'd like to hear about your experience with joint disease and Adequan® i.m. (POLYSULFATED GLYCOSAMINOGLYCAN). Please help us by submitting your experience. We will send you a free cap for your reply.

Full Name:

E-mail:

Title:

Business Name:

Address:

City:

State:

Zip:

Phone:

Please send me a DVD of this educational program
Number of copies:

I use Adequan because:

What discipline(s) are you primarily involved with? (check all that apply)
Pleasure	Racing	English	Western
Show/Competition	Dressage	Breeding

I'd like to share my experience with Adequan®:

I give permission for Luitpold Animal Health/Adequan® to use my statements as I submitted on "Experiences With Adequan" web site for use in promotional materials.

If you are a veterinarian

Please have my Luitpold Sales representative contact me

Please send me the educational brochure
Number of copies:

Please send me technical tear-off pads (50 sheets/pad)
Number of copies:

Please send me announcement postcards
Number of copies:

How many horses do you treat per year?
0-500
501-1000
1001-1500
1501+

How many cases of DJD do you treat per year?
1-100
101-200
201-500
501+

If you are a horse owner

How many horses do you own?
1-5
6-10
11-25
26-50
50+
none

How many of your horses have suffered from degenerative joint disease?
none
1
2-10
11-15
16-25
26+

Would you use educational information to better understand joint injuries?
Yes
No

If yes, what formats work best?
meeting
printed brochure
video presentation
on-line/web-based educational presentation
Other (please explain below)

See Luitpold Privacy Policy at www.luitpold.com
Click the submit button to save your updated information and receive a
free canvas cap from Adequan®. Thank you for your interest.

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