Offer

U.S. KOI LLC

SORRY, THIS OFFER IS ONLY VALID FOR MAILING ADDRESSES WITHIN THE CONTINENTAL UNITED STATES.

For a "free" 1 oz bottle of Aquarium Solutions^® CLORAM-X® please complete and return the form below with an empty bottle of your current ammonia removing water conditioner. By returning this form you are agreeing to be added to our consumer database which is only used for Hikari Sales USA, Inc. promotions. We do not share our lists with other companies under any circumstances! Please note: all fields must be completely filled for a valid submission.

What type of fish do you have?

Tropical Goldfish Marine Koi Other

How did you hear about this promotion?

Other:

What size aquarium do you have? (you can select more than 1 size tank by holding the control key and making multiple selections.

Enter the types of fish you have below:

Tell us where to send your product: (please write legibly as this will be the shipping label.

E-mail
Name
Address
City/State/Zip

I agree to be added to your consumer database by completing this form and checking here.

Click your print button above when all information has been entered. Mail to: ClorAm-X Offer, 2804 McCone Avenue, Hayward, CA 94545.