United Pacific Industries

Thank you for purchasing a Thermoskin product.

Please complete the guarantee card below.

First Name:*

Surname:*

Address:*

Suburb:*

Postcode:*

State:*

Thermoskin Product*

Thermal support Elastic support Healthcare support

Product Name:*

Product Code:*

Purchased From:*

Purchase Date:*

Gender:*

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Please indicate for which of the following purposes you will use your Thermoskin product:

Soft tissue injury (e.g. sports) Repetitive strain injury (e.g. overuse) Prevention of soft tissue injury Recurring pain from old injury (e.g. chronic) Treatment of arthritic pain Other (please specify below):

Please indicate whether you use Thermoskin during the treatment period with any of the following complementary treatment methods?

Anti-inflammatory medication Creams/rubs/ointments Medical rehabilitation (e.g. Physio) Alternative therapy (e.g. magnets) Exercise rehabilitation Other (please specify below):

Who or what was the major influence in your purchasing of a Thermoskin product:

Pharmacist Pharmacy sales assistant Friends/family Medical professional (please specify profession): Advertising (please specify which advertisement): Other (please specify below):

Were you aware of the Thermoskin brand before you purchased this product?

Yes No