Request Cards

 

If you are an organization, doctor's office, pharmacy, church, or non-profit and would like a display box of 250 free cards please complete the form below. and we will mail them out immediately. Thank you for helping us spread the word about this valuable savings program!

Request Free Bulk Cards

Full Name*:
Primary Phone*:	Alternate Phone:	Fax Number:
e-Mail Address:
Business Name:
Website Address:
Address Line 1*:
Address Line 2:
City*:	State*:	Zip Code*:
Card Quantity*: Card Language: English Spanish
How do you intend to distribute these cards?
Special Instructions:
* - required field

 

 

 

RxCut® Plus is accepted at these Pharmacies and more!