School Nurses on LiceGuard

You will receive a Free RobiComb® if you're one of the first 300 School Nurses to send in this form.

* Required Fields
NOTE: Only one Free RobIComb per school in a 12-month period. Please, no home addresses. For shipping, provide your address at your school and your email address associated with you at your school.
Then press the Request Sample button below.

Your information is only used to mail your sample. No one from LiceGuard will call you, nor will your contact information be shared with any other organization.
Full Name *

First NameLast NameSuffix
Title
E-mail Address at Your School *
School Name*
Address at Your School to Send RobiComb *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Comments?
Should be Empty: