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Technology Test Drive - Order form

If you wish to borrow a Phonak radio aid or Roger product, please apply to our Borrow to Buy service.

You can request up to 4 products, but we may not be able to send them all at the same time. If you would like more than one product from a section, please use the 'All' field to choose another one or simply type your request into the further information section.

If we have the item you have requested in stock, we will aim to send it to you within three weeks of the request.

We will also send details of the date the item is due back as well as return packing and postage.

Mandatory fields are identified by the asterisk character (*)

Technology test drive - product order form

Technology Test Drive - product order form