Sample Request Form

Sample Request

Name(Required)

First Last

Email(Required)

Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Name of horse

Horse breed, age, and size

Please describe your horse's clinical signs

Has a veterinarian diagnosed free fecal water syndrome?

Yes

No

Not sure

Do you agree to provide feedback, including photos, after 1, 2, and 4 weeks of use?(Required)

Yes

No

Need help with your order?

A real person is always here for you.

Call

Toll-Free: 877-429-2276

Email

order@c2equine.com

Help Center