Thank you for placing your order for the NEW Dolphin Neurostim Professional with silent mode.

Name*
First Last
Email*
Phone*
Street Address 1*
Street Address 2
City*
Zip/Postal Code*
Country*
Province*
State*
Please Specify Country*
Province/State
For international customers, before completing your upgrade, please contact us at:
- Email: cpsrhealing@yahoo.com
- Phone: 1-800-567-7246
Number of devices trading in*
Model # 1*
Serial # 1*
The serial number can be found inside the battery compartment.
Model # 2*
Serial # 2*
Notes
NOTE: Please only send the device(s)/ unit(s) when mailing. Batteries/ Accessories are not needed.

Policy:
- Old unit(s) needs to be returned within 30 days commencing on the invoice/purchase date to avoid being charged the full price for the new Dolphin Professional unit(s).
- We do not cover the shipping fee for sending the units for upgrade/ trade-in
- Returns will not be processed if the RMA form (attached to the email to be sent once submitted) is not enclosed with your unit/s.
- CAPTCHA

For international customers, before completing your upgrade, please contact us at: Email: cpsrhealing@yahoo.com Phone: 1-800-567-7246