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Thank you for your interest in Odour Free Maximum Strength MYOFLEX® and Odour Free Deep Therapy Pain Relief Patch MYOFLEX®. Your comments are greatly appreciated! Helping you with your pain management needs is important to us. Therefore from time to time we may wish to send you information, samples or special offers that we feel may be of interest to you regarding MYOFLEX or other complimentary brands from Bayer. Check the box below if you would like to hear from Bayer brands in the future on special offers, information or samples. By providing your personal information, you agree to Bayer Canada's collection use and disclosure of such information for the purposes described in and in accordance with our Privacy Policy, which forms a part of this consent.

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 Yes I would like to receive information, samples and offers on this and other brands of Bayer
 Yes but I would only like to receive information, samples and offers only from MYOFLEX

Please do not provide us information if you are under the age of 18. This site is not intended for children under the age of 18. We will not knowingly collect information from site visitors in this age group. We encourage parents to talk to their children about their use of the Internet and the information they disclose to Web sites.

In exchange for providing us with this valuable information, you have the choice of receiving either 1 Penny or you can redeem that penny to receive a sample patch of our new MYOFLEX Deep Therapy Pain Relief Patch and a 7g trial size of our MYOFLEX Maximum Strength Pain Relief Cream.
Please allow 4-6 weeks for delivery.

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* Title   Mr.     Mrs.     Ms.     Miss   
* First Name:
* Last Name:
* Address:
* City:
* Province:
* Postal Code:   (M1M1M1)
* Phone Number:
* Email:
* Age:
* Gender:
How often do you use over the counter non-prescription topical pain relievers to treat Arthritis/Joint, Back or Muscle Pain?
  1 or more times per week
  2-4 times per month
  once per month or less
  Never
When treating your Arthritis/Joint, Back or Muscle Pain, how often do you use the following types of pain relief remedies?

Topical Pain relievers (e.g. , A535, Lakota, Thermacare)
  Always      Usually      Sometimes      Never

Oral Analgesics (e.g. ASPIRIN®, TYLENOL®, ADVIL®)
  Always      Usually      Sometimes      Never

What ONE over the counter, non-prescription Topical Pain Relieving brand do you PRIMARILY use for your Arthritis/Joint, Back or Muscle Pain?
How did you hear about this website?
Thank you for your time. Please choose between the following:
*   I don't want a sample, please send me 1 penny as a thank you for completing the survey
*   Please send me a sample patch of NEW MYOFLEX Deep Therapy Pain Relief Patch and a 7g trial size of MYOFLEX Maximum Strength Pain Relief Cream as a thank you for completing the survey

Please allow 4-6 weeks for delivery.
This product contains a medicinal ingredient. Please keep out of reach of children.

Offer available only in Canada
Maximum 1 trial offer per Canadian household.

To be sure this product is suitable for you, always read and follow the label.

Bayer, Bayer Cross and ASPIRIN are registered trademarks of Bayer AG, used under licence. © Bayer Inc. 2007
Myoflex is a registered trademark of Bayer Inc., Toronto, ON M9W 1G6.

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