To Patient: Write your name below and present this coupon to
William Goldstein, M.D. at time of purchase.

This certificate is for (Patient name)
(Street)
(City, State, Zip)

You are entitled to receive one free Obagi Nu-Derm Foaming Gel or one free Gentle Cleanser with the purchase of the complete program of products in the Obagi Nu-Derm Skin Health Restoration System.

Patient's Signature:
Physician's Signature:

Offer cannot be combined with any other promotion or redeemed for any other product. Minimum program of products includes the purchase of Toner, Clear, Exfoderm or Exfoderm Forte, Blender and Sunblock or Sunfader. Not valid on previous purchases. Not redeemable for cash.

Expires: 4/23/2004 (Certificate not valid after expiration date)
Certificate #: 000175858


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