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Continence Care Learning Center Products eCatalog Printable Catalog FAQs Latex Statement Reimbursement Submit Product Ideas Request a Sample Secure Start Where to Buy News & Events The Miami Project Feedback Submit Product Ideas NEW PRODUCT DEVELOPMENT Hollister Incorporated develops products and services with customer needs and requirements in mind. For instance, the easy-to-open packaging, large handle and gel reservoir of the Advance PlusT intermittent catheter were developed with direct feedback from customers with quadriplegia. We are continually looking for consumers and healthcare professionals to provide feedback on new product ideas or improvements. Should you wish to participate in a new product focus group or provide feedback on a specific product, please complete the form below. I would like to participate in focus groups and/or provide feedback on new products or product improvements. First Name* Last Name* Address* City* State* - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Phone Number* Fax Number Email Address* Check the products you currently use: Intermittent Catheter Male External Catheter Leg Bag Other I am a:* Healthcare Professional User of Hollister products Family member or friend of someone who uses Hollister products Business Partner or other Business Professional Student Other Questions/Comments Please contact me, in the future, with new product information and other valuable updates.* Yes No Confirmation Code:*   Why do we ask for a confirmation code? Please enter the characters you see below into this box: + By submitting information online, you agree that such information will be governed by our Privacy Policy and Copyright/Disclaimer statement. PRIVACY STATEMENT Your privacy is important to Hollister Incorporated ("Hollister"). Hollister will not sell or rent customer information to others. Personal information collected by Hollister is used to contact customers about Hollister and its products and services and is only shared with other outside organizations (service providers) to help them contact customers on behalf of Hollister. If you no longer wish to receive such communications, you may "opt out" at any time by calling Hollister at 1-888-740-8999, Monday through Friday, 8:00am - 5:00pm (Central time) I have read and acknowledge the Privacy Statement.* * Indicates required field

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