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More cash for test strips

Mail To: More cash for test strips
245 West Carson Street
Carson, CA 90745
Mail From:
Name
Address
Appt, suite #
City
State
Zip
Phone#
D
D
D
D
D
D
D
D
Promo Code: — D
Note: — D
Prefer Payment Method: Fargo Direct Pay
First Name:
Middle Name:
Last Name:
Bank Routing #:
Account #:
Fargo account type #:
Label Request: D
CHECK BOX 2 - PERMISSION TO COLLECT EMAIL CHECK BOX 3 - PERMISSION TO SEND TEXT MESSAGES
TEST STRIPS BRAND NAME Price & Number of Boxes Estimated Sub-Total
Estimated Sub-Total $D
DATE 2024-04-20
Grand Total $0.00
IMPORTANT NOTICE:
DO NOT REMOVE any existing labels from your diabetic supply boxes! We remove all labels upon receipt at our facility; however, if you are still concerned about your privacy, please simply mark out any personal information (such as your name) with a soft, felt-tip marker (no ballpoint pens or pencils, please) to avoid damaging the box(es).
YOU WILL RECEIVE AN EMAIL FROM US IN A FEW MINUTE CHECK YOUR EMAIL AND YOUR SPAM
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