Product Sample Checkout

Checkout

Thank you for your interest in Hollister products. To request free product samples, please submit the information below. If necessary, the Hollister Consumer Programmes Team may need to contact you to confirm product sizing. Please provide all appropriate contact information.

Customer Information

First Name :

Last Name :

Address : Street address, P.O. Box, company name, c/o

Address 2 (optional): Street address, P.O. Box, company name, c/o

City:

Country:

State/Province/Region:

Zip/Postal Code:

Phone Number:

Email :

Are you:

Clinician/Healthcare Provider

Patient/End User

What product are you currently using:

Additional comments:

<hr /><h5>PRIVACY STATEMENT</h5>

Global Consumer Data Privacy Consent Statements

Order Request — must be checked to submit sample request

For the purpose of processing, fulfilling and communicating with me about the order that I am requesting, I consent to the processing of my personal identification, communication preferences, health information, product information, third-party information, transactional information and request details, where applicable, by Hollister, which includes its Group Companies (see link below) and delivery company Fittleworth Medical Limited where appropriate. I understand that Hollister, its Group Companies and Fittleworth may communicate with me about my order, using the contact information (postal address, email, phone and SMS) that I have provided.

Direct Marketing

For the purpose of receiving information about products, promotions and other direct marketing campaigns, I consent to the processing of my personal identification, communication preferences, health information and request details, where applicable, by Hollister, which includes its Group Companies (see link below). I understand that Hollister and its Group Companies may communicate with me about these topics, using the contact information (postal address, email, phone and SMS) that I have provided.

Consent Information

Your consent is optional and you have the right to withdraw it at any time. To withdraw your consent or to make changes to your communication preferences, contact us at Data.Officer@Hollister.com.Data.Officer@Hollister.com. Such withdrawal only has future effect. For more details regarding Hollister and its Group Companies, please refer to our Group Companies Page. Further details regarding the processing of your personal data and your legal rights can be found in our Privacy Notice.

PRIVACY STATEMENT

Your consent is optional and you have the right to withdraw it at any time. To withdraw your consent or to make changes to your communication preferences, contact us at unsubscribe@Hollister.com. Such withdrawal only has future effect (i.e. the withdrawal of your consent has no effect on the lawfulness of the data processing and disclosures before the withdrawal was made).

For more details regarding Hollister and its Group Companies, please refer to our Group Companies Page. Please find further details regarding the processing of your personal data and your legal rights in our full Privacy Notice.

Yes, I understand.