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Save $5.00 on ALEVE^®

Complete the form below and receive a coupon to save $5.00 on the purchase of ALEVE^® 100s².
Ask for ALEVE^® 100s² at your pharmacy counter.

Fields marked with an * are required.

First Name: *
Last Name: *
Postal Code: *
Province: * Coupon not valid in Quebec.
Age: *
Sex: *
Email: *

Which one of the following conditions are you most likely to treat with ALEVE^®?
(Please select one only)

² Coupon not valid in Quebec.