Give Your Friend Free Batteries For Their Birthday

Simply fill out the form below and on their birthday we'll send them the batteries you specify below.

Your Name *  

Your Email *  

Your Friend's Name *  

Your Friend's Birthday *  

Battery Size *  

Your Friend's Address *  

Your Friend's City *  

Your Friend's State * Oregon Washington  

Your Friend's Zip *  

Your Friend's Phone *  

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(To prevent abuse of this generous offer, it is only available to Hearing Instrument users in the Portland, Oregon Metro Area. Able Hearing at it's sole discretion, reserves the right to deny or revoke this gift offer to anyone at any time, without notice.)