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.

  • 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.
  • Please Note: Non-Coated needles are currently not available in Europe/UK, or Australia/New Zealand.

  • Please note, it may take up to 2-3 weeks for your sample to arrive in the mail.

  • This field is for validation purposes and should be left unchanged.