Request Promin LP Farmhouse Loaf / Fruit Loaf / Sweet Pancake Mix Sample Pack – United Kingdom Your Name (required) Your Email (required) Telephone (required) Address Line 1 (required) Address Line 2 (required) Town (required) Post Code (required) Country (required) EnglandScotlandWalesNorthern Ireland IMD Type (required) Phenylketonuria (PKU)Tyrosinemia (TYR)Homocystinuria (HCU)Urea Cycle Disorder (UCD)Other NEW!! Low Protein Farmhouse Loaf / Fruit Loaf & Sweet Pancake Mix: Tick below to receive sample pack. Promin LP Farmhouse Loaf / Promin LP Fruit Loaf / Promin LP Sweet Pancake Mix Dietician Full Name: (required) Dietician Full Hospital Name: (required) I consent for Firstplay to contact me via: EmailTelephoneOpt Out I consent for Firstplay to contact me about my sample request: YesNo Δ Why not join our XPhe Jump Customer Reward Club?…..Click here for more info!