Calaject Demo Kit Request Form
Are you interested in receiving a CCLAD Calaject System Kit to try?

You can now get on a list to request a Calaject Demo Kit to be shipped to your office for a 2-Week trial period. We simply charge a $100 non-refundable deposit we collect at the time the unit is being shipped to you. Included in your demo kit will be a UPS return label that you will use to mail the demo unit unit back to us after 2 weeks.

After trial if you choose to purchase a Calaject, the $100 deposit will go straight toward the purchase of a new Calaject System.

Please fill out your request for Calaject trial form below and we will contact you.
Sign in to Google to save your progress. Learn more
Email *
First & Last Name *
Practice Shipping Address *
Phone Number *
Preferred contact method *
Required
Demo Kit $100 Non refundable  Deposit *
Referral / Notes
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy