Needle Sample Request Form

We want you to be confident in making the switch to Acufast Earth Friendly Needles, and sometimes that means playing with the needles before buying.

Please use the form to let us know what needles you use most frequently in your clinic so we can send you a needle sample pack that is tailored to your needs.

*Please note, samples are currently only available in North America. Please check back regularly or register when using the Acu-Trash Calculator to be notified of when distribution expands to your country*

  • The country your clinic is located in. This will determine which Acufast distributor will send your samples.
  • Needle Sizes I Use:
    Please indicate your TOP 5 MOST USED NEEDLE SIZES, and we will do our best to build you a personalized sample pack.
  • This field is for validation purposes and should be left unchanged.