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Thank you for answering these questions and for your purchase of the Blood
Glucose Monitoring System.
Do you have
Type I
Type II
Gestational Diabetes?
Have you owned a blood glucose monitor before?
Yes
No
Which brand/s were you most recently using?
Will the
meter be your primary monitor?
Yes
No
How often do you test your blood glucose? Times per day per week
Do you use insulin?
Yes
No
Oral medication?
Yes
No
How did you hear about the
Blood Glucose meter?
Name Male/Female Date of Birth
Address
City Country Postal Code
Phone Number
Emergency Card
＊
Please fill this card and carry with you at anytime.
Warranty Card
Healthcare Professional Who Recommended City Country
Store/Pharmacy Name Where Purchased City Country
Date of Purchase Model No: Serial/Lot No.
Thank you for purchasing our product. Please complete and mail this warranty card within 30 days of purchase of your
Blood Glucose Monitoring System.
