Energy Patch Pre-Order Form
FEEL THE STIM and energize with NO Caffeine, No Supplements, No Crash (US only). Initial shipments are planned for June 3rd, 2019. First In First out Email notifications will be sent to customers. Each order will be limited to 6 Energy Patches.
Would you prefer to test the Original Strength or Extra Strength version of our Energy Patch
Original Strength (Smooth Skin Sensations)
Extra Strength (Strong Skin Sensations)
In what setting would you like to use Energy Patches?
To wake up in the morning
Before a workout
Late afternoon at work
Evening/Late Night Work or Study
How many cups of coffee and Energy Drinks / Shots do you have a day?
3 or more
Please identify your age group
45- 54 Years
> 55 Years
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