To apply for a free bottle of the Bomb Drop’s please attach a copy of your DD 214, with your SSN blacked out and a brief description of your Life/Health situation that states why you need a bottle donated. No worries, all of this is kept to ourselves and we do not share with anyone.

If you cannot fill this form out please send the same information in an email to

    What are you applying for?
    Bomb DropsDog Chews

    Tell us your story: Please describe your life situation and why you need a bottle of our Shell Shock donated to you?