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Binder Program
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(mm/dd/yyyy)
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Binder Style Preferences
We will send you a binder in whatever color or length is available in your size. If you have a preference for color and/or length, we will check to see if it is available.
Please indicate if you prefer a short (covers chest area only) or long (covers whole torso like an undershirt) binder. The material that covers the stomach in the long binder is thinner and more stretchy than the material that covers the chest.
Please check off which colors you prefer.
Binder Color Guide

Binder Colors.png

Confirmation
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Check the box to confirm you are eligible for the program.